Individual provider Active NPI

William W Beckett Jr., MD

  • Diagnostic Radiology Physician
  • Dothan, AL
National Provider Identifier
1366425019
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16292 Issued in AL
Practice address
1900 Fairview Ave
Dothan, AL 36301-3008
Phone
(334) 793-9511
Fax
(334) 794-6412
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 16292 AL
Diagnostic Radiology Physician 2085R0202X 4301504919 MI
Diagnostic Radiology Physician 2085R0202X 16292 AL Primary

Addresses

Primary practice location

1900 Fairview Ave
Dothan, AL 36301-3008

Mailing address

2015 Alexander Dr
Dothan, AL 36301-3003
Phone (334) 793-9511

Other identifiers 4

IdentifierTypeStateIssuer
009996505MedicaidAL
000084260MedicaidAL
009996525MedicaidAL
009996515MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071211000288 AL Practitioner - Diagnostic Radiology 3971546961 Reassigns benefits to 8 organizations
I20210923000148 IL Practitioner - Diagnostic Radiology 3971546961

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of Dothan PCGroup PAC ID 2163465147, 21 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111

1900 Fairview Ave
Dothan, AL 36301-3008
Phone (334) 793-9511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16292ALMDNeuroradiology Physician
4301504919MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Oct 12, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 12, 2022 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Feb 1, 2022 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Feb 18, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 6, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Neuroradiology CurrentSince Mar 1, 2023 Accepting new patients
Crawford Hospital District Current Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Radiology Associates of Dothan PC Neuroradiology CurrentSince Oct 8, 1996 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2015 Alexander Dr
Dothan, AL 36301
Phone (334) 671-1696

1900 Fairview Ave
Dothan, AL 36301
Phone (334) 793-9511

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 12

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.

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1366425019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 ALEXANDER DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013003",
            "telephone_number": "334-793-9511",
            "fax_number": "334-794-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FAIRVIEW AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013008",
            "telephone_number": "334-793-9511",
            "fax_number": "334-794-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "WILLIAM",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AL",
            "license": "16292",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301504919",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "16292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009996505",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084260",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009996525",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009996515",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.