Individual provider Active NPI

William Allyn Roberts, MD

  • Orthopaedic Surgery Physician
  • Foley, AL
National Provider Identifier
1962486977
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23703 Issued in AL
Practice address
1613 N McKenzie St
Foley, AL 36535
Phone
(251) 949-3920
Fax
(251) 949-3930
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD23703 AL
Orthopaedic Surgery Physician 207X00000X 23703 AL Primary

Addresses

Primary practice location

1613 N McKenzie St
Foley, AL 36535

Mailing address

2935 Thousand Oaks Dr Ste 294
San Antonio, TX 78247-3563
Phone (210) 494-1100

Other identifiers 2

IdentifierTypeStateIssuer
009951420MedicaidAL
528700580OtherALGROUP MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050720000529 AL Practitioner - Orthopedic Surgery 0547200677 Reassigns benefits to 1 organization
I20190610003071 AL Practitioner - Undersea and Hyperbaric Medicine 0547200677 Practice locations: Foley, AL

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric Medicine
Education
Saint Louis University School of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3920

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Foley, AL, CCN 017052
  • Baldwin Health Hospital, Foley, AL, CCN 010083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue760
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23703ALMDOrthopaedic Surgery Physician
MD23703ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Orthopedic & Rehabilitation Center PC Orthopaedic Surgery CurrentSince Sep 1, 2007 Accepting new patients
Bayside Orthopaedic & Rehabilitation Center, P.C. Orthopaedic Surgery CurrentSince Sep 1, 2007 Accepting new patients
Trinity Regional Medical Center Orthopaedic Surgery Past Accepting new patients

Locations

1622 N McKenzie St
Foley, AL 36535
Phone (251) 928-9954

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1962486977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 THOUSAND OAKS DR STE 294",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473563",
            "telephone_number": "210-494-1100",
            "fax_number": "210-494-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-949-3920",
            "fax_number": "251-949-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WILLIAM",
        "middle_name": "ALLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD23703",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "23703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009951420",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "528700580",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.