Individual provider Active NPI

William C Hurd, M.D.

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1538216239
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0013888 Issued in TN
Practice address
220 S Claybrook St Ste 101
Memphis, TN 38104-3538
Phone
(901) 276-4844
Fax
(901) 276-0926
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12279 MS
Ophthalmology Physician 207W00000X 0013888 TN Primary

Addresses

Primary practice location

220 S Claybrook St Ste 101
Memphis, TN 38104-3538

Mailing address

220 S Claybrook St Ste 101
Memphis, TN 38104-3538
Phone (901) 276-4844

Other identifiers 2

IdentifierTypeStateIssuer
0015522MedicaidMS
3005071MedicaidTN

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
I20111201000174 TN Practitioner - Ophthalmology 3274692637 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12279MSMDOphthalmology Physician
0013888TNMDOphthalmology Physician
13888TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince May 9, 2019 Accepting new patients
Memphis Health Center, Inc. CurrentSince May 9, 2019 Accepting new patients

Locations

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

Interoperability endpoints

  • Direct secure messaging: william.hurd.1@20250.direct.athenahealth.com
  • Direct secure messaging: william.hurd.p1@direct.mphshc.nextgenshare.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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1538216239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S CLAYBROOK ST STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043538",
            "telephone_number": "901-276-4844",
            "fax_number": "901-276-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CLAYBROOK ST STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043538",
            "telephone_number": "901-276-4844",
            "fax_number": "901-276-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "12279",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "0013888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015522",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005071",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.