NPIMap

Individual provider Active NPI

William Foster Gaillard Jr., MD

  • Vascular Surgery Physician
  • North Charleston, SC
National Provider Identifier
1619315918
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
87215 Issued in SC
Practice address
2575 Elms Center Rd Ste 200
North Charleston, SC 29406-9875
Phone
(843) 724-1950
NPI assigned
Jun 7, 2013
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 87215 SC Primary

Addresses

Primary practice location

2575 Elms Center Rd Ste 200
North Charleston, SC 29406-9875

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
872158MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200729003551 AL Practitioner - General SurgeryPractitioner - Vascular Surgery 1850535899 Reassigns benefits to 2 organizations
I20220428002845 SC Practitioner - Vascular Surgery 1850535899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Medical University of South Carolina College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1033 Saint Andrews Blvd
Charleston, SC 29407-7156
Phone (843) 723-6111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion11
Varicose vein removal17
Leg revascularization (restoring blood flow)28
Removal of tissue16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2020 Accepting new patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital Inc. CurrentSince Jun 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network Surgery Current Accepting new patients
Roper Hospital, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Roper St. Francis Specialty Physicians Surgery CurrentSince Feb 1, 2026 Accepting new patients
Coastal Vascular & Vein Center PA CurrentSince Mar 17, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 25, 2024 Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Aug 28, 2020 Accepting new patients
West Alabama Physician Associates LLC Vascular Surgery CurrentSince Aug 28, 2020 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 25, 2024 Accepting new patients
Roper Saint Francis Physicians Network Vascular Surgery PastSince Mar 17, 2024 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

701 University Blvd E
Ste 807
Tuscaloosa, AL 35401
Phone (205) 333-4528

1033 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 534-1770

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2097 Henry Tecklenburg Dr
Ste 305W
Charleston, SC 29414
Phone (843) 724-1950

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

897 Von Kolnitz Rd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 534-1770

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2575 Elms Center Rd
Ste 200
North Charleston, SC 29406
Phone (843) 724-1950

9165 University Blvd
Ste 200
North Charleston, SC 29406
Phone (843) 724-1950

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: wgaillard1521514@direct.bsmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1619315918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 ELMS CENTER RD STE 200",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069875",
            "telephone_number": "843-724-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILLARD",
        "first_name": "WILLIAM",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "87215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872158",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.