Individual provider Active NPI

William Colt Hazel, D.C.

  • Chiropractor
  • Gainesville, TX
National Provider Identifier
1306087952
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11122 Issued in TX
Practice address
903 E Broadway St
Gainesville, TX 76240-4235
Phone
(940) 665-4121
Fax
(940) 668-0833
NPI assigned
Mar 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11122 TX Primary

Addresses

Primary practice location

903 E Broadway St
Gainesville, TX 76240-4235

Mailing address

903 E Broadway St
Gainesville, TX 76240-4235
Phone (940) 736-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015001523 TX Practitioner - Chiropractic 3678740180 Reassigns benefits to 1 organization
Practice locations: Gainesville, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3971OKMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nobility Medical PLLC CurrentSince Mar 1, 2020 Accepting new patients
BC Chiropractic PA Chiropractor PastSince Mar 30, 2015 Accepting new patients

Locations

903 E Broadway St
#C
Gainesville, TX 76240
Phone (940) 665-4121

903 E Broadway St
Gainesville, TX 76240
Phone (940) 336-4584

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1306087952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E BROADWAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404235",
            "telephone_number": "940-736-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E BROADWAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404235",
            "telephone_number": "940-665-4121",
            "fax_number": "940-668-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "WILLIAM",
        "middle_name": "COLT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.