Active NPI
Billy B Westbrook, D.P.M.
- Podiatrist
- Longview, TX
National Provider Identifier
1306819032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- TX0578
- Practice address
- 2828 N Fourth St
Suite 200
Longview, TX 75605-5718 - Phone
- (903) 758-4468
- Fax
- (903) 758-5056
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | TX0578 | TX | Primary |
Addresses
Primary practice location
2828 N Fourth St
Suite 200
Longview, TX 75605-5718
Mailing address
2828 N 4TH St
Longview, TX 75605-5718
Phone (903) 758-4468
Other practice location 1
701 S Washington Ave Ste B
Marshall, TX 75670-5370
Phone (903) 938-1815
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092751901 | Medicaid | TX | |
| 480001643 | Other | TX | MEDICARE RAILROAD |
| 480928621 | Other | TX | MEDICARE RAILROAD |
| 8AJ312 | Other | TX | BLUE CROSS BLUE SHIELD |
| 751523800 | Other | TX | IRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER |
| 092751902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110307000751 | TX | Practitioner - Podiatry | 6709068133 | Practice locations: Longview, TX; Marshall, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2828 N 4TH St
Longview, TX 75605-5718
Phone (903) 758-4468
701 B S Washington
Marshall, TX 75670-5370
Phone (903) 938-1815
701 S Washington Ave B
Marshall, TX 75670-5370
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 327 |
| Removal of nail tissue | 116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX0578 | TX | MD | Podiatrist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1306819032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055718",
"telephone_number": "903-758-4468",
"fax_number": "903-758-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N FOURTH ST",
"address_2": "SUITE 200",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055718",
"telephone_number": "903-758-4468",
"fax_number": "903-758-5056"
}
],
"practiceLocations": [
{
"address_1": "701 S Washington Ave Ste B",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "TX",
"postal_code": "756705370",
"country_code": "US",
"telephone_number": "903-938-1815",
"fax_number": "903-938-3662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESTBROOK",
"first_name": "BILLY",
"middle_name": "B",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "TX0578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092751901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480001643",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480928621",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8AJ312",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER",
"identifier": "751523800",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092751902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.