Individual provider Active NPI

William H. Freeman, M.D.

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1396747648
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6022 Issued in AR
Practice address
600 Club LN
Conway, AR 72034-3624
Phone
(501) 327-0110
Fax
(501) 327-0141
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C6022 AR Primary

Addresses

Primary practice location

600 Club LN
Conway, AR 72034-3624

Mailing address

600 Club LN
Conway, AR 72034-3624
Phone (501) 327-0110

Other identifiers 3

IdentifierTypeStateIssuer
1396747648OtherARINDIVIDUAL NPI
04D0957619OtherARCLIA NUMBER
110995001MedicaidAR

Other names 1

  • Dr. William H. Freeman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100803000350 AR Practitioner - Family Practice 4284767831 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6022ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William H Freeman, MD PA CurrentSince May 17, 2010 Accepting new patients
Condren Family Nutrition Current Accepting new patients

Locations

600 Club Ln
Conway, AR 72034
Phone (501) 327-0110

410 Denison St
Conway, AR 72034
Phone (501) 219-1114

3025 Fountain Dr
Ste 200
Conway, AR 72034
Phone (501) 327-0110

Interoperability endpoints

  • Direct secure messaging: williamhfreeman@freeman.ssdirect.aprima.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1396747648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLUB LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343624",
            "telephone_number": "501-327-0110",
            "fax_number": "501-327-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLUB LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343624",
            "telephone_number": "501-327-0110",
            "fax_number": "501-327-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "WILLIAM",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396747648",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "04D0957619",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110995001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "FREEMAN",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.