Active NPI
William B Gamble III, MD
- Pediatrics Physician
- Greenville, SC
National Provider Identifier
1487618708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9324
- Practice address
- 800 Pelham Road
Greenville, SC 29615-3300 - Phone
- (864) 234-5800
- Fax
- (864) 234-5881
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9324 | SC | Primary |
Addresses
Primary practice location
800 Pelham Road
Greenville, SC 29615-3300
Mailing address
800 Pelham Road
Greenville, SC 29615-3300
Phone (864) 234-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093240 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9324 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwood Pediatric Group PA | Pediatrics | Past | Accepting new patients |
| St Francis Physician Services Inc | Past | Accepting new patients | |
| Carolina Family Care, Inc | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Charleston, SC
- NPI 1659521201
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1487618708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PELHAM ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153300",
"telephone_number": "864-234-5800",
"fax_number": "864-234-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PELHAM ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153300",
"telephone_number": "864-234-5800",
"fax_number": "864-234-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "9324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093240",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.