Individual provider Active NPI

William David Long, M.D.

  • Vascular & Interventional Radiology Physician
  • Alexandria, LA
National Provider Identifier
1992767404
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
024926 Issued in LA
Practice address
3704 North Blvd
Suite 1
Alexandria, LA 71301-3606
Phone
(318) 442-8399
Fax
(318) 448-9897
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 024926 LA
Diagnostic Radiology Physician 2085R0202X 024926 LA
Vascular & Interventional Radiology Physician 2085R0204X 024926 LA Primary

Addresses

Primary practice location

3704 North Blvd
Suite 1
Alexandria, LA 71301-3606

Mailing address

PO Box 6284
Alexandria, LA 71307-6284
Phone (318) 442-8399

Other identifiers 2

IdentifierTypeStateIssuer
04446MedicaidLA
P00325542OtherLARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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
I20040303001312 LA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4486541323 Reassigns benefits to 1 organization
I20220701000860 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4486541323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Vascular Institute PLLCGroup PAC ID 5496101297, 2 clinicians
RFC Radiology Associates LLCGroup PAC ID 8022141894, 33 clinicians

Practice addresses (Care Compare)

1010 NW Loop
410 Suite 100B
San Antonio, TX 78213-2220
Phone (210) 465-7015

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 467-9552

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024926LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Apr 1, 2025 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
Innovative Vascular Institute, PLLC Vascular & Interventional Radiology CurrentSince Jul 18, 2023 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Apr 1, 2025 Accepting new patients
Brown-Folse Radiology Group, LLC Diagnostic Radiology Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients
Central Louisiana Imaging, Inc. Specialist Past Accepting new patients
US Radiology Partners of Louisiana, Inc. Diagnostic Radiology Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Central Louisiana Imaging Center LLC Past Accepting new patients
Mid South Radiology Partners, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 45)

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

3704 North Blvd
Ste 1
Alexandria, LA 71301
Phone (318) 442-8399

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284

600 Bayou Pines East Dr
Ste A
Lake Charles, LA 70601
Phone (337) 493-5310

1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1992767404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6284",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713076284",
            "telephone_number": "318-442-8399",
            "fax_number": "318-448-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013606",
            "telephone_number": "318-442-8399",
            "fax_number": "318-448-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "024926",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "024926",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "024926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04446",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00325542",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.