Individual provider Active NPI

William D Hodgson, MD

  • Physical Medicine & Rehabilitation Physician
  • Bristol, TN
National Provider Identifier
1508251703
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
59387 Issued in TN
Practice address
1 Medical Park Blvd Ste 300E
Bristol, TN 37620-7497
Phone
(423) 844-6450
Fax
(423) 844-6499
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 59387 TN Primary

Addresses

Primary practice location

1 Medical Park Blvd Ste 300E
Bristol, TN 37620-7497

Mailing address

1 Medical Park Blvd Ste 300E
Bristol, TN 37620-7497
Phone (423) 844-6450

Other practice location 1

1215 Lee St
Box 801007
Charlottesville, VA 22908-0816
Phone (434) 243-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190904001739 TN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4385951607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
East Tennessee State University Quillen College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emg Clinics of Tennessee, PLLCGroup PAC ID 4981647641, 7 clinicians

Practice addresses (Care Compare)

109 Suburban Rd
Suite 101
Knoxville, TN 37923-5582
Phone (800) 224-1807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emg Clinics of Tennessee PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2023 Accepting new patients

Locations

3035 N Highland Ave
Jackson, TN 38305
Phone (731) 660-6395

109 Suburban Rd
Ste 101
Knoxville, TN 37923

Organizations & group practices 1

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1508251703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD STE 300E",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207497",
            "telephone_number": "423-844-6450",
            "fax_number": "423-844-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD STE 300E",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207497",
            "telephone_number": "423-844-6450",
            "fax_number": "423-844-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "Box 801007",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-243-5600",
            "fax_number": "434-243-9185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "59387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.