William C Claridge, MD
Individual provider Active NPI Family Medicine Physician · Madras, OR
NPI 1760403109 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1760403109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD11771 (OR)
- Practice address
- 480 NE a St
Madras, OR 97741-1844 - Phone
- (541) 475-4800
- Fax
- (541) 475-4805
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD11771 | OR | Yes |
Addresses
Primary practice location
480 NE a St
Madras, OR 97741-1844
Mailing address
PO Box 5579
Bend, OR 97708-5579
Phone (541) 475-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239566 | Medicaid | OR | |
| 11849148 | Other | OR | CAQH ID |
Other names
- Bill C Claridge
Other providers in Madras, OR
- Annette Chastain
- Natalie Chavez
- Richard Choate
- Shawna D Choin
- Candy Cisneros
- Brandon L Cleem
- Jennifer A Cleem
- Climbing Mountains Counseling LLC
- Julio Cohetzaltitla Jr.
- Maria Copeland
All providers in Madras, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.