William Franklin Montgomery Jr., PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00108 Issued in TX

Practice address

2401 Walker Place Blvd
Copperas Cove, TX 76522-4025

Phone

(254) 547-5516

Fax

(254) 547-5258

NPI assigned

Jul 12, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.montgomery@fmc.directbygreenway.com

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.

• Adventhealth Family Medicine Rural Health Clinics, Inc.

  • Family Medicine Physician
  • Lampasas, TX
  • NPI 1861050569
  Medicare reassignment NPD
• Hillcrest Family Health Center

  • Family Medicine Physician
  • Waco, TX
  • NPI 1891796694
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1790710259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WALKER PLACE BLVD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224025",
            "telephone_number": "254-547-5516",
            "fax_number": "254-547-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WALKER PLACE BLVD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224025",
            "telephone_number": "254-547-5516",
            "fax_number": "254-547-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "WILLIAM",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "86N594",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nanette Mione, APRN, BC
• Ronda Faye Mitchell, RN
• Melony Mogck
• Shakira Montelaro
• Madisyn Montgomery, PTA
• Ebony Nicole Moore, LVN
• Samuel Moore
• Sheena Lashell Moore, LCSW
• Jasmine A Morgan, FNP-C
• James Kyle Morsch, MD

• Medical Physician Assistant in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.