William B Crockett, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME63064 Issued in FL

Practice address

5942 34TH St W
Bradenton, FL 34210-3683

Phone

(941) 782-4860

Fax

(941) 782-4899

NPI assigned

Sep 21, 2005

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1760478218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-782-4259",
            "fax_number": "941-782-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 34TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103683",
            "telephone_number": "941-782-4860",
            "fax_number": "941-782-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME63064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377289600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Crim
• Joseph Crimaldi, DMD
• Tracy Criman, RBT
• Deirdre Cristea, APRN
• Criticalneedmedicine Healthyfamily Healthycommunity
• Gleider Crombet
• Courtney Crooks
• Chad Everett Crosier, LMHC
• Amanda Voelker Crump, MS, OTR/L
• Parnell J Crump Jr., OD

• Psychiatry Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.