Individual provider Active NPI

William Madison Colgin III, DC

  • Chiropractor
  • Rosenberg, TX
National Provider Identifier
1407926660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2312 Issued in TX
Practice address
905 Silverado TRL
Rosenberg, TX 77471-2841
Phone
(281) 342-4995
Fax
(281) 342-1857
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2312 TX Primary

Addresses

Primary practice location

905 Silverado TRL
Rosenberg, TX 77471-2841

Mailing address

905 Silverado TRL
Rosenberg, TX 77471-2841
Phone (281) 342-4995

Other identifiers 1

IdentifierTypeStateIssuer
88312602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000547 TX Practitioner - Chiropractic 9638125370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

905 Silverado Trails
Rosenberg, TX 77471

905 Silverado TRL
Rosenberg, TX 77471-2841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2312TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
William M. Colgin, D.C., P.C. Chiropractor CurrentSince Mar 21, 1977 Accepting new patients
Wellness Maintenance Centers, Inc Chiropractor PastSince Mar 2, 2013 Accepting new patients

Locations

905 Silverado Trl
Rosenberg, TX 77471
Phone (281) 342-4995

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407926660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SILVERADO TRL",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712841",
            "telephone_number": "281-342-4995",
            "fax_number": "281-342-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SILVERADO TRL",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712841",
            "telephone_number": "281-342-4995",
            "fax_number": "281-342-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGIN",
        "first_name": "WILLIAM",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88312602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.