Active NPI
William Glenn Anderson
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, VA
National Provider Identifier
1336035633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0116041939
- Practice address
- 1200 E Broad St
Richmond, VA 23298-5025 - Phone
- (404) 457-7458
- NPI assigned
- Jun 16, 2025
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0116041939 | VA | Primary |
Addresses
Primary practice location
1200 E Broad St
Richmond, VA 23298-5025
Mailing address
1200 E Broad St
Box 980257
Richmond, VA 23298-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116041939 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1336035633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E BROAD ST",
"address_2": "BOX 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985025",
"telephone_number": "404-457-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "WILLIAM",
"middle_name": "GLENN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-16",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0116041939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.