Active NPI
David Brent Williams, DPM
- Podiatrist
- El Paso, TX
National Provider Identifier
1821029505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1749
- Practice address
- 1533 N Lee Trevino Dr
C1
El Paso, TX 79936-5170 - Phone
- (915) 433-0991
- Fax
- (815) 301-5599
- NPI assigned
- Jul 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 320 | NM | |
| Podiatrist | 213E00000X | 1749 | TX | Primary |
Addresses
Primary practice location
1533 N Lee Trevino Dr
C1
El Paso, TX 79936-5170
Mailing address
1407 Elm St
El Paso, TX 79930-2909
Phone (915) 239-0003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180261304 | Medicaid | TX | |
| F8031 | Medicaid | NM |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4409 Dyer St
El Paso, TX 79930-6734
Phone (915) 491-6346
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 90 |
| Removal or shaving of skin growth | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Laser Care PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1533 N Lee Trevino Dr
Ste C1
El Paso, TX 79936
Phone (915) 433-0991
4409 Dyer St
El Paso, TX 79930
Phone (915) 433-0991
1533 N Lee Trevino Dr
#C
El Paso, TX 79936
Phone (915) 491-6346
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- El Paso, TX
- NPI 1649651837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1821029505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 ELM ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799302909",
"telephone_number": "915-239-0003",
"fax_number": "915-975-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 N LEE TREVINO DR",
"address_2": "C1",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365170",
"telephone_number": "915-433-0991",
"fax_number": "815-301-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAVID",
"middle_name": "BRENT",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NM",
"license": "320",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180261304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F8031",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.