William Edward Hansberry, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

LL584 Issued in FL

Practice address

1620 Nectarine St
Fernandina Beach, FL 32034-4724

Phone

(904) 548-1860

Fax

(904) 277-7283

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  • Public Health or Welfare Agency
  • Yulee, FL
  • NPI 1558339028
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801934203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320350517",
            "telephone_number": "904-548-1800",
            "fax_number": "904-277-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NECTARINE ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344724",
            "telephone_number": "904-548-1860",
            "fax_number": "904-277-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSBERRY",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "LL584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haftel Healing Arts LLC
• Jeffrey Warren Hall, LMT
• Jon Bradley Hall, D.M.D.
• Holly L Hamilton, M.D.
• Robin C. Hampton, LMHC
• Patrick James Hanson
• Helen Orieanna Harding, R,CT,MR
• Jennifer Harper, ARNP
• Elizabeth Anne Harrelson-Lee, DC
• Harris Teeter LLC

• Pediatrics Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.