Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM T BACON IV, PA-C
ActiveWILLIAM T BACON IV, PA-C is a Medical Physician Assistant healthcare provider located in SANTA FE, New Mexico. NPI 1730181942 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SANTA FE, NM
Registration Details
- NPI Number
- 1730181942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (21.016489863974 yrs)
- Last Updated
- Mar 6, 2025
- License
-
2001-PA36 (NM)
Practice Information
- Address
-
1650 HOSPITAL DR STE 500SANTA FE, NM, 875054794Browse NM providers · Browse ZIP 87505
- Phone
- 5056701976
- Fax
- 5059837212
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| MS. BRIDGET CORNELL ANDREW | PA,MPH | 1649279266 |
| MS. PATRICIA E MCCULLOCH | PA-C | 1780676866 |
| MR. MILTON ALLEN MATTESON | PA-C | 1811980279 |
| RAYMOND C GALLEY | PA-C | 1316935323 |
| MS. LYNN A DEVLIN | PA | 1811965254 |
| MRS. WABANANG GAIASHKIBOS KUCZEK | MPH, PA-C | 1841217403 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.