Bill Douglas Harris, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

7170A Issued in WY

Practice address

2301 House Ave Ste 502
Cheyenne, WY 82001-3179

Phone

(307) 635-4131

Fax

(307) 635-4134

NPI assigned

Nov 2, 2006

Last updated

Jun 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urology Care Clinic, P.C.

  • Urology Physician
  • Cheyenne, WY
  • NPI 1780754317
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1831277029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 502",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013179",
            "telephone_number": "307-635-4131",
            "fax_number": "307-635-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 502",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013179",
            "telephone_number": "307-635-4131",
            "fax_number": "307-635-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BILL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WY",
            "license": "7170A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00143425",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120815200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WYOMING",
            "identifier": "313039",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harrell Dental (Westgate Dental)
• Benjamin J Harrell, DDS
• Christina Harrell
• Connie Joe Harrell, DDS
• Elizabeth Harrell
• Darcey D Harris, RN
• Francis William Harris, CRNA
• Melina Deprise Harris
• Hali Harrison, MS, RD, LD
• William Anthony Harrison, MD

• Urology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Urology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.