Active NPI
William H Lovett III, PA
- Medical Physician Assistant
- Bryan, TX
National Provider Identifier
1811061930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 04673
- Practice address
- 2206 E Villa Maria Rd
Bryan, TX 77802-2547 - Phone
- (979) 776-4600
- Fax
- (979) 776-8749
- NPI assigned
- Nov 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 04673 | TX | Primary |
Addresses
Primary practice location
2206 E Villa Maria Rd
Bryan, TX 77802-2547
Mailing address
2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone (979) 776-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA04673 | Other | TX | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | centraltexasgi@directaddress.net |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone (979) 776-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 04673 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Midwest Emergency Physicians PA | 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.
-
- Gastroenterology Physician
- Bryan, TX
- NPI 1639260763
-
- Emergency Medical Services (Emergency Medicine) Physician
- Abilene, TX
- NPI 1740278993
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1811061930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 E VILLA MARIA RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022547",
"telephone_number": "979-776-4600",
"fax_number": "979-776-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 E VILLA MARIA RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022547",
"telephone_number": "979-776-4600",
"fax_number": "979-776-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVETT",
"first_name": "WILLIAM",
"middle_name": "H",
"name_suffix": "III",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA 04673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA04673",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "centraltexasgi@directaddress.net",
"affiliation": "N",
"address_1": "2206 E Villa Maria Rd",
"city": "Bryan",
"state": "TX",
"country_code": "US",
"postal_code": "778022547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.