Active NPI
William F. Long, MD
- Allergy Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- E6480
- 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, 2015
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114479201 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E6480 | TX | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harker Heights Allergy | Current | 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
- 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.
-
- Allergy & Immunology Physician
- Harker Heights, TX
- NPI 1730438631
-
- Allergy & Immunology Physician
- West Lake Hills, TX
- NPI 1457621740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.