Active NPI
William Bradford Bancroft, DO
- Internal Medicine Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4966R
- Practice address
- 1108 Ross Clark Cir Ste 210
Dothan, AL 36301-3022 - Phone
- (334) 712-3329
- NPI assigned
- Apr 28, 2019
- Last updated
- Apr 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 4966R | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir Ste 210
Dothan, AL 36301-3022
Mailing address
4300 W Main St Ste 41
Dothan, AL 36305-1318
Phone (334) 615-8490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Internal Medicine
- Education
- Alabama College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Main St
Suite 41
Dothan, AL 36305-1318
Phone (334) 615-8490
Hospital & facility affiliations
- Enhabit Home Health
- Centerwell Home Health
- Centerwell Home Health
- Amedisys Home Health
- Flowers Hospital
- Southeast Health Medical Center
- Dale Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4966R | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinic, P.C. | Internal Medicine | Current | Accepting new patients |
| Wiregrass Clinic LLC | Internal Medicine | Current | Accepting new patients |
Locations
1108 Ross Clark Cir
Ste 210
Dothan, AL 36301
Phone (334) 712-3329
1108 Ross Clark Cir
Ste 303
Dothan, AL 36301
1118 Ross Clark Cir
Ste 303
Dothan, AL 36301
Phone (334) 794-3192
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
4300 W Main St
Ste 41
Dothan, AL 36305
Phone (334) 699-4082
Interoperability endpoints
- https://api.platform.athenahealth.com/3134/brand/1/csg/1/fhir/r4
- william.bancroft.1@3326.direct.athenahealth.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.
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1184693053
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Dothan, AL
- NPI 1871503532
-
dba Enhabit Home Health
- Home Health Agency
- Dothan, AL
- NPI 1770561268
-
dba Centerwell Home Health
- Home Health Agency
- Dothan, AL
- NPI 1467489385
-
- General Acute Care Hospital
- Ozark, AL
- NPI 1942380357
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
dba Centerwell Home Health
- Home Health Agency
- Geneva, AL
- NPI 1457380172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1760046460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 41",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051318",
"telephone_number": "334-615-8490",
"fax_number": "334-944-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR STE 210",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-712-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANCROFT",
"first_name": "WILLIAM",
"middle_name": "BRADFORD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-28",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "4966R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.