Active NPI
William L Duncan Jr., M.D.
- Urology Physician
- McComb, MS
National Provider Identifier
1780676098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 16480
- Practice address
- 1015 Delaware Ave
Suite B
McComb, MS 39648-3827 - Phone
- (601) 250-4275
- Fax
- (601) 249-0957
- NPI assigned
- Aug 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 16480 | MS | Primary |
| Specialist | 174400000X | E4521 | AR |
Addresses
Primary practice location
1015 Delaware Ave
Suite B
McComb, MS 39648-3827
Mailing address
1015 Delaware Ave
Suite B
McComb, MS 39648-3827
Phone (601) 250-4275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03778340 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4521 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgery Associates, PLLC | Urology | Past | Accepting new patients |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MS
- NPI 1356451652
Urology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1780676098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 DELAWARE AVE",
"address_2": "SUITE B",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483827",
"telephone_number": "601-250-4275",
"fax_number": "601-249-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 DELAWARE AVE",
"address_2": "SUITE B",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483827",
"telephone_number": "601-250-4275",
"fax_number": "601-249-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "16480",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "E4521",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03778340",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.