Individual provider Active NPI

William Franklin Pendergraft III, M.D., PH.D.

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1578899282
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2013-02226 Issued in NC
Practice address
5915 Farrington Rd Ste 106
Chapel Hill, NC 27517-9900
Phone
(984) 999-0902
Fax
(984) 439-2122
NPI assigned
Oct 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2013-02226 NC Primary
Nephrology Physician 207RN0300X 195405 NC

Addresses

Primary practice location

5915 Farrington Rd Ste 106
Chapel Hill, NC 27517-9900

Mailing address

5915 Farrington Rd Ste 106
Chapel Hill, NC 27517-9900
Phone (984) 999-0902

Other practice location 1

Unc Kidney Ctr
7024 Burnett Womack Building, Campus Box # 7155
Chapel Hill, NC 27599-7155
Phone (919) 966-2561

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140205001249 NC Practitioner - Internal MedicinePractitioner - Nephrology 6608033527 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195405NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter B. Bressler MD PA CurrentSince Jul 1, 2018 Accepting new patients

Locations

5915 Farrington Rd
Ste 106
Chapel Hill, NC 27517
Phone (919) 401-6000

Interoperability endpoints

  • Direct secure messaging: will.pendergraft.1@21054.direct.athenahealth.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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1578899282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 FARRINGTON RD STE 106",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179900",
            "telephone_number": "984-999-0902",
            "fax_number": "984-439-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 FARRINGTON RD STE 106",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179900",
            "telephone_number": "984-999-0902",
            "fax_number": "984-439-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unc Kidney Ctr",
            "address_2": "7024 Burnett Womack Building, Campus Box # 7155",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997155",
            "country_code": "US",
            "telephone_number": "919-966-2561",
            "fax_number": "919-966-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDERGRAFT",
        "first_name": "WILLIAM",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-02226",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "195405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.