Active NPI
William Robert Bixenman, MD
- Nephrology Physician
- Rock Hill, SC
National Provider Identifier
1891798740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 14201
- Practice address
- 1436 Riverchase Blvd
Rock Hill, SC 29732-1777 - Phone
- (803) 329-2636
- Fax
- (803) 329-2184
- NPI assigned
- May 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 14201 | SC | Primary |
Addresses
Primary practice location
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Mailing address
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390000774 | Other | SC | RAILROAD MEDICARE |
| 142018 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14201 | SC | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1891798740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 RIVERCHASE BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321777",
"telephone_number": "803-329-2636",
"fax_number": "803-329-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 RIVERCHASE BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321777",
"telephone_number": "803-329-2636",
"fax_number": "803-329-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIXENMAN",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "14201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390000774",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142018",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.