William Philip Fleming, M.D.

Individual provider Active NPI General Practice Physician · Bernalillo, NM

NPI 1821058876 · NPPES record last updated Feb 4, 2017

Key facts

NPI
1821058876
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
8432 (NM)
Practice address
801 Desert Marigold CT
Bernalillo, NM 87004-5200
Phone
(505) 870-5604
Fax
(844) 287-5547
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NM8432NMMDObstetrics & Gynecology Physician
8432NMMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NM8432 NM
General Practice Physician 208D00000X 8432 NM Yes

Addresses

Primary practice location

801 Desert Marigold CT
Bernalillo, NM 87004-5200

Mailing address

801 Desert Marigold CT
Bernalillo, NM 87004-5200
Phone (505) 870-5604

Other providers in Bernalillo, NM

All providers in Bernalillo, NM · General Practice Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.