Individual provider Active NPI

Billy B Westbrook, D.P.M.

  • Podiatrist
  • Longview, TX
National Provider Identifier
1306819032
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TX0578 Issued in TX
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

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
092751901MedicaidTX
480001643OtherTXMEDICARE RAILROAD
480928621OtherTXMEDICARE RAILROAD
8AJ312OtherTXBLUE CROSS BLUE SHIELD
751523800OtherTXIRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER
092751902MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue327
Removal of nail tissue116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX0578TXMDPodiatrist

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.