Active NPIIndividual provider

Mr. William T Buckenroth, PA-C

Physician Assistant in Pittsfield, Massachusetts

NPI Number1811136591
Practice location
725 North St, Pittsfield, MA 01201-4109
Fax
413-447-2833
Last updated
November 17, 2011

William Timothy Buckenroth is a Physician Assistant based in Pittsfield, MA. William Timothy Buckenroth practices in Pittsfield, MA and has the professional credentials of PA-C. The NPI Number for William Timothy Buckenroth is 1811136591 and holds a License No. PA4265 (MA). The current practice location address for William Timothy Buckenroth is 725 North St, Pittsfield, MA 01201-4109 and can be reached out via phone at 413-447-2403 and via fax at 413-447-2833.

Provider Profile Details

NPI Number
1811136591
Provider Name
William Timothy Buckenroth
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
725 North St, Pittsfield, MA 01201-4109
Phone Number
413-447-2403
Fax Number
413-447-2833
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2009
Last Update Date
November 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 North St
Pittsfield, MA 01201-4109
Zip
01201-4109
Phone Number
413-447-2403
Fax Number
413-447-2833
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
725 North Street
Berkshire Medical Center
Pittsfield, MA 01201
City
Pittsfield
State
MA
Zip
01201
Phone Number
413-447-2752
Fax Number
413-496-6836

License Information

License Number
PA4265
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. William T Buckenroth, PA-C?

The NPI number of Mr. William T Buckenroth, PA-C is 1811136591. It was assigned on February 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. William T Buckenroth, PA-C?

Mr. William T Buckenroth, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4265.

Where does Mr. William T Buckenroth, PA-C practice?

The practice location is 725 North St, Pittsfield, MA 01201-4109. The office can be reached at 413-447-2403 (phone) or 413-447-2833 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811136591 directly on the NPPES registry website.

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