Active NPI
William H Meyer, MD
- Sports Medicine (Internal Medicine) Physician
- Brookhaven, MS
National Provider Identifier
1801845060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 05473
- Practice address
- 427 Highway 51 N
Brookhaven, MS 39601-2350 - Phone
- (601) 835-9468
- Fax
- (601) 878-2011
- NPI assigned
- May 8, 2006
- Last updated
- Mar 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 05473 | MS | Primary |
Addresses
Primary practice location
427 Highway 51 N
Brookhaven, MS 39601-2350
Mailing address
1075 Hawthorne Dr
McComb, MS 39648-7568
Phone (601) 835-9468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014937 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1801845060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 HAWTHORNE DR",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396487568",
"telephone_number": "601-835-9468",
"fax_number": "601-878-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 HIGHWAY 51 N",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012350",
"telephone_number": "601-835-9468",
"fax_number": "601-878-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "WILLIAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "MS",
"license": "05473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014937",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.