Individual provider Active NPI

William F. Long, MD

  • Allergy Physician
  • Temple, TX
National Provider Identifier
1730175852
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
E6480 Issued in TX
Practice address
2027 S. 61St St
#108
Temple, TX 76502
Phone
(254) 773-8916
Fax
(254) 228-5574
NPI assigned
Sep 23, 2005
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X E6480 TX Primary

Addresses

Primary practice location

2027 S. 61St St
#108
Temple, TX 76502

Mailing address

11770 Jollyville Rd
Austin, TX 78759
Phone (512) 732-2774

Other identifiers 1

IdentifierTypeStateIssuer
114479201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000466 TX Practitioner - Allergy/Immunology 5496886368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Texas Tech University Health Science Center School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harker Heights AllergyGroup PAC ID 6709021272, 4 clinicians

Practice addresses (Care Compare)

2027 S 61St St
Suite 108
Temple, TX 76504-6856
Phone (254) 773-8916

2301 Clear Creek Rd
Suite 208
Killeen, TX 76549-4119

2301 Clear Creek Rd
Suite 208
Killeen, TX 76549-4198
Phone (254) 435-4995

303 E Main St
Round Rock, TX 78664-5246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6480TXMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harker Heights Allergy CurrentSince Sep 30, 2012 Accepting new patients
Paul Scibielski MD PA Past Accepting new patients

Locations

11762 Jollyville Rd
Austin, TX 78759
Phone (512) 258-2300

2025 Memory Ln
Ste 400A
Harker Hts, TX 76548
Phone (254) 432-5945

2301 Clear Creek Rd
Ste 208
Killeen, TX 76549
Phone (254) 435-4995

303 E Main St
Round Rock, TX 78664

2027 S 61st St
Ste 108
Temple, TX 76504
Phone (254) 279-3384

Interoperability endpoints

  • Direct secure messaging: harkerheightsallergy.williamlong@124039.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1730175852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 JOLLYVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-732-2774",
            "fax_number": "512-331-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 S. 61ST ST",
            "address_2": "#108",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502",
            "telephone_number": "254-773-8916",
            "fax_number": "254-228-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "E6480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114479201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.