William Bruce Povolny, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4887 Issued in NV

Practice address

330 Crampton St
Reno, NV 89502-2480

Phone

(775) 336-3700

Fax

(775) 336-3701

NPI assigned

Jan 22, 2007

Last updated

May 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1588718340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-336-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CRAMPTON ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022480",
            "telephone_number": "775-336-3700",
            "fax_number": "775-336-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Mill St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021442",
            "country_code": "US",
            "telephone_number": "775-786-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POVOLNY",
        "first_name": "WILLIAM",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "4887",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016186",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Robert Potts, D.C.
• Michael Poulin, RN, APRN
• Antoinette Poulson
• Linea Pouono
• Sandra M. Poupeney, LCSW, LADC
• Bhagatshan Singh Powar, RN
• Surjit Kaur Powar, RN
• Anathea Carlson Powell, MD
• Diane Powell
• Elizabeth H Powell

• Family Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.