William H Bordelon, MD, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

WILLIAM H BORDELON, MD, PA

Practice address

1600 S Coulter St
BLDG a, Ste 100
Amarillo, TX 79106-1710

Phone

(806) 359-5847

Fax

(806) 359-9384

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

William Bordelon, MD

Title

Physician

Phone

(806) 359-5874

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1821278607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BLDG A, STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-359-5847",
            "fax_number": "806-359-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BLDG A, STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-359-5847",
            "fax_number": "806-359-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H BORDELON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "806-359-5874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174282701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Victoria Grace Wilkinson, P.A.-C
• Cheyayne Willcox
• William I Kracke MD PA
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• William M Bannister, MD, PA
• William R. East MD, P.a.
• Annilisa Williams, RPH

• Urology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.