Active NPI
William Glen Goncharow, D.O.
- Emergency Medicine Physician
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2013-01608
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-7324 - Phone
- (910) 907-7136
- NPI assigned
- Apr 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2013-01608 | NC | Primary |
| General Practice Physician | 208D00000X | 2013-01608 | NC |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-7324
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone (910) 907-8116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4850
207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (910) 721-1000
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000
6915 Village Medical Cir
Clemmons, NC 27012-8002
Phone (336) 893-1000
Hospital & facility affiliations
- Novant Health Brunswick Medical Center
- Novant Health Forsyth Medical Center
- Novant Health Thomasville Medical Center
- Novant Health New Hanover Regional Medical Center
- Rutherford Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.86 of 100
- Quality
- 97.48
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 84.49
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- Quality
- 84.11
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- Quality
- 82.48
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tanglewood Park Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Robeson Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Kernersville Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Brunswick Community Hospital, LLC | Current | Accepting new patients | |
| Sandhills Emergency Physicians PA | Current | Accepting new patients | |
| Piedmont Triad Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Past | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680
1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
-
- Emergency Medicine Physician
- Bolivia, NC
- NPI 1457822264
-
- Emergency Medicine Physician
- Kernersville, NC
- NPI 1750852034
-
- Emergency Medicine Physician
- Thomasville, NC
- NPI 1295206464
-
- Emergency Medicine Physician
- Clemmons, NC
- NPI 1093286379
-
- Specialist
- Thomasville, NC
- NPI 1033160205
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1801375373
-
- Emergency Medical Services (Emergency Medicine) Physician
- Pinehurst, NC
- NPI 1003853409
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1649159609
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- General Acute Care Hospital
- Rutherfordton, NC
- NPI 1245321181
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- General Acute Care Hospital
- Thomasville, NC
- NPI 1801848767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1407113103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283107324",
"telephone_number": "910-907-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONCHAROW",
"first_name": "WILLIAM",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2013-01608",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "2013-01608",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.