Individual provider Active NPI

William Henry Krass, D.O.

  • Aerospace Medicine Physician
  • Bedford, TX
National Provider Identifier
1598852162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
E2039 Issued in TX
Practice address
1609 Circle Lane
Bedford, TX 76022-6746
Phone
(817) 282-0274
Fax
(817) 283-8146
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X E2039 TX Primary

Addresses

Primary practice location

1609 Circle Lane
Bedford, TX 76022-6746

Mailing address

1609 Circle Lane
Bedford, TX 76022-6746
Phone (817) 282-0274

Other identifiers 1

IdentifierTypeStateIssuer
00P641OtherTXEXISTING BCBS PROVIDER #

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E2039TXMDAerospace Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598852162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 CIRCLE LANE",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226746",
            "telephone_number": "817-282-0274",
            "fax_number": "817-283-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 CIRCLE LANE",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226746",
            "telephone_number": "817-282-0274",
            "fax_number": "817-283-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASS",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "E2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXISTING BCBS PROVIDER #",
            "identifier": "00P641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.