Individual provider Active NPI

William J. Burt, M.D.

  • Hospitalist Physician
  • Fayetteville, AR
National Provider Identifier
1952343907
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C-7251 Issued in AR
Practice address
3215 N. North Hills Blvd.
Fayetteville, AR 72703
Phone
(479) 463-7102
Fax
(479) 463-7864
NPI assigned
Jun 12, 2006
Last updated
May 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7251 AR
Hospitalist Physician 208M00000X C-7251 AR Primary

Addresses

Primary practice location

3215 N. North Hills Blvd.
Fayetteville, AR 72703

Mailing address

12 East Appleby Road
Suite 102
Fayetteville, AR 72703
Phone (479) 463-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000390 AR Practitioner - Internal MedicinePractitioner - Family Practice 6305865254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3215 N Northhills Blvd
Washington Regional Hospital Medicine Gro
Fayetteville, AR 72703-4007

3215 N Northhills Blvd
Washington Regional Hospital Medicine Group
Fayetteville, AR 72703-4424
Phone (479) 463-7102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C7251ARMDFamily Medicine Physician
C-7251ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Washington Regional Medical System Hospitalist CurrentSince Nov 1, 2011 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Sewell Healthwise Chiropractic P.a. PastSince Feb 26, 2010 Accepting new patients
Washington Regional Medical Center Past Accepting new patients
Sparks Medical Foundation Past Accepting new patients

Locations

12 E Appleby Rd
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4746

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025

Interoperability endpoints

  • Direct secure messaging: wburt25767@washingtonregional.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1952343907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EAST APPLEBY ROAD",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-463-7102",
            "fax_number": "479-463-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 N. NORTH HILLS BLVD.",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-463-7102",
            "fax_number": "479-463-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7251",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "C-7251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.