Individual provider Active NPI

William Marcus Newberry, M.D.

  • Medical Oncology Physician
  • Nampa, ID
National Provider Identifier
1629148762
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
9671150 Issued in ID
Practice address
9951 W St Lukes Dr
Nampa, ID 83687-7914
Phone
(208) 467-6700
Fax
(208) 463-6044
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 16828 SC
Medical Oncology Physician 207RX0202X MD213839 OR
Medical Oncology Physician 207RX0202X 9671150 ID Primary

Addresses

Primary practice location

9951 W St Lukes Dr
Nampa, ID 83687-7914

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

Beaufort Memorial Oncology Specialists
989 Ribaut Rd, Ste 310
Beaufort, SC 29906-5200
Phone (843) 770-0572 ext. 220

Other practice location 2

1501 NE Medical Center Dr
Bend, OR 97701-6099
Phone (541) 382-4900

Other identifiers 2

IdentifierTypeStateIssuer
500815912MedicaidOR
168286MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wnewberry20049@directmsg.bmctotalcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OR, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051005000590 SC Practitioner - Hematology/Oncology 2567497803 Reassigns benefits to 1 organization
I20230227002332 OR Practitioner - Medical Oncology 2567497803 Reassigns benefits to 1 organization
I20251017002391 ID Practitioner - Internal Medicine 2567497803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983

1118 NW 16TH St
Suite D
Fruitland, ID 83619-2272
Phone (208) 452-7677

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

9951 W St Lukes Dr
Nampa, ID 83687-7914
Phone (208) 467-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD213839ORMDMedical Oncology Physician
16828SCMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Aug 3, 2025 Accepting new patients
Bend Memorial Clinic PC Medical Oncology CurrentSince Apr 1, 2023 Accepting new patients
Palmetto Infusion Services LLC CurrentSince Jul 1, 2012 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Aug 3, 2025 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Mar 1, 2014 Accepting new patients
Bend Memorial Clinic PC CurrentSince Apr 1, 2023 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Mar 1, 2014 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1118 NW 16th St
Ste D
Fruitland, ID 83619
Phone (208) 452-7677

9951 W St Lukes Dr
Nampa, ID 83687
Phone (208) 463-6006

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

989 Ribaut Rd
Ste 310
Beaufort, SC 29902
Phone (843) 522-7350

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

3105 Sunset Blvd
West Columbia, SC 29169
Phone (843) 314-2060

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1629148762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 W ST LUKES DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877914",
            "telephone_number": "208-467-6700",
            "fax_number": "208-463-6044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BEAUFORT MEMORIAL ONCOLOGY SPECIALISTS",
            "address_2": "989 RIBAUT RD, STE 310",
            "address_purpose": "LOCATION",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065200",
            "country_code": "US",
            "telephone_number": "843-770-0572 x220",
            "fax_number": "843-982-0112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 NE Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016099",
            "country_code": "US",
            "telephone_number": "541-382-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "WILLIAM",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "SC",
            "license": "16828",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD213839",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ID",
            "license": "9671150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500815912",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168286",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wnewberry20049@directmsg.bmctotalcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 NE Medical Center Dr",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.