Individual provider Active NPI

Robert Gayle Williams, MD

  • Diagnostic Radiology Physician
  • Kerrville, TX
National Provider Identifier
1396718441
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E4768 Issued in TX
Practice address
218 Quinlan St # 372
Kerrville, TX 78028-5314
Phone
(830) 997-1268
Fax
(775) 852-6902
NPI assigned
Feb 9, 2006
Last updated
Sep 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E4768 TX Primary

Addresses

Primary practice location

218 Quinlan St # 372
Kerrville, TX 78028-5314

Mailing address

PO Box 17916
Reno, NV 89511-1034
Phone (888) 896-9369

Other identifiers 1

IdentifierTypeStateIssuer
136104004MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328001051 TX Practitioner - Diagnostic Radiology 4587695903 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jun 20, 2017 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jun 20, 2017 Accepting new patients
Lifesciences Imaging Partners, LLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 693-9331

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1396718441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17916",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111034",
            "telephone_number": "888-896-9369",
            "fax_number": "775-852-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 QUINLAN ST # 372",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285314",
            "telephone_number": "830-997-1268",
            "fax_number": "775-852-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "GAYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E4768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136104004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.