Active NPI
William H Pieratt III, D.O.
- Internal Medicine Physician
- Bryan, TX
National Provider Identifier
1710902960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J4438
- Practice address
- 2900 E 29TH St Ste 200
Bryan, TX 77802 - Phone
- (979) 776-8440
- Fax
- (979) 776-6905
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J4438 | TX | Primary |
Addresses
Primary practice location
2900 E 29TH St Ste 200
Bryan, TX 77802
Mailing address
2900 E 29TH St Ste 100
Bryan, TX 77802-2623
Phone (979) 776-8440
Other practice location 1
1905 Dove Crossing Ln Ste A
Navasota, TX 77868-5272
Phone (936) 825-0775
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4438 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Grange Internal Medicine | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- La Grange, TX
- NPI 1407041296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1710902960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 E 29TH ST STE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022623",
"telephone_number": "979-776-8440",
"fax_number": "979-776-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 E 29TH ST STE 200",
"city": "BRYAN",
"state": "TX",
"postal_code": "77802",
"telephone_number": "979-776-8440",
"fax_number": "979-776-6905"
}
],
"practiceLocations": [
{
"address_1": "1905 Dove Crossing Ln Ste A",
"address_purpose": "LOCATION",
"city": "Navasota",
"state": "TX",
"postal_code": "778685272",
"country_code": "US",
"telephone_number": "936-825-0775",
"fax_number": "979-776-6905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERATT",
"first_name": "WILLIAM",
"middle_name": "H",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J4438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
- Phil&Neet Enterprises LLC (Fyzical Therapy & Balance Centers)
- Allanna Phillips
- Gerald D Phillips, O.D.
- Physicians Home Medical Equipment, Inc. (Physicians Home Medical Equipment)
- Physicians Medical Equipment, LLC
- Dalia Guadalupe Pineda
- Richard S Pinon, ATP
- Ryan Frank Pittsinger, PHD
- Ryan Christopher Poehl, MA, LPC-S
- Jenny M Polian, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.