William Mann Wilshire IV, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

103 Issued in MT

Practice address

931 Highland Blvd
Suite 3310
Bozeman, MT 59715

Phone

(406) 587-8478

Fax

(406) 582-0730

NPI assigned

Oct 5, 2006

Last updated

May 22, 2014By 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 4

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bozeman Foot and Ankle Clinic PCGroup PAC ID 3173515673, 2 clinicians

Mountainview Medical CenterGroup PAC ID 8820085707, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Medical Center Hospital, White Sulphur Spring, MT, CCN 271306

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/mvmedc-7a318021

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.

• Mountainview Medical Center

  dba Bair Medical Clinic

  • Rural Health Clinic/Center
  • White Sulphur Springs, MT
  • NPI 1417162850
  Medicare reassignment Care Compare group NPD
• Bozeman Foot and Ankle Clinic P.C.

  • Foot Surgery Podiatrist
  • Bozeman, MT
  • NPI 1891817011
  Medicare reassignment Care Compare group
• Mountainview Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • White Sulphur Springs, MT
  • NPI 1811102270
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountainview Medical Center

  • Critical Access Hospital
  • White Sulphur Springs, MT
  • NPI 1548395197
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1881780179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD",
            "address_2": "SUITE 3310",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-8478",
            "fax_number": "406-582-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD",
            "address_2": "SUITE 3310",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-8478",
            "fax_number": "406-582-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSHIRE",
        "first_name": "WILLIAM",
        "middle_name": "MANN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MT",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000002571",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390337",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480027217",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000082949",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary B Williamson
• Sidney P Williamson Jr., MD
• Jessica Willmarth, COTA/L
• Willow Sage Chiropractic PLLC
• Jennifer E Wilshire, PT
• Deborah Wilson, LCSW
• Dena Joleen Wilson, OT
• Hannah Rachael Wilson, MA, LCPC
• Jacqueline S Wilson, M.D.
• Regan Gael Wilson, R.D.

• Foot Surgery Podiatrist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Foot Surgery Podiatrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.

Verify at the official NPI Registry.