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DR. WILLIAM CHAMBERS WALLER JR. M.D.
NPI 1528069515
Urology in Rapid City, SD

Active since August 02, 2005
2805 5TH ST, 220, RAPID CITY, SD 57701(605) 348-1084(605) 348-3256 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William Chambers Waller Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM CHAMBERS WALLER JR. M.D. (NPI 1528069515) is an individual urology provider in Rapid City, South Dakota, licensed in South Dakota (4033) and active in the NPI registry since August 2005. He maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1528069515
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. WILLIAM CHAMBERS WALLER JR.Credential: M.D.
Location Address2805 5TH ST, 220Rapid City, SD 57701-6003
Mailing Address5171 Cub Lake Rd, Ste B280Show Low, AZ 85901-7888 · (928) 532-8663 · Fax (928) 532-8665
Phone(605) 348-1084
Fax(605) 348-3256
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateFebruary 27, 2019
✔ NPI 1528069515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in SD · 4033✔ Licensed in WA · MD60933481
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2805 5TH ST, Rapid City, SD 57701
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Secondary Practice Location 1

Location 11100 Goethals Dr Ste DRichland, WA 99352-3301 · Phone (509) 942-3165 · Fax (509) 942-3167

Other Identifiers 3

Medicaid111265100WY
Medicaid460350645NE
Medicaid7500090SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH G BRYSON MD
Urology
2805 5TH ST, SUITE 100
RAPID CITY, SD 57701
Meade County (605) 719-5700
MASARU CHIBA MD
Internal Medicine (Pulmonary Disease)
2805 5TH ST, SUITE 100
RAPID CITY, SD 57701
Meade County (605) 719-5700
JAMES F NABWANGU MD
Neurological Surgery
2805 5TH ST, SUITE 100
RAPID CITY, SD 57701
Meade County (605) 719-5650
KIRSTIN ASHLEY HOCKHAUSEN
Dermatology
2805 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-5340
KARMELA L BACHMAN PA-C
Physician Assistant
2805 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-5340
MS. LAURA ANN PARSONS PA-C
Physician Assistant (Medical)
2805 5TH ST, 220
RAPID CITY, SD 57701
Meade County (605) 348-1084
THEODORE G OBENCHAIN MD
Neurological Surgery
2805 5TH ST
RAPID CITY, SD 57701
Meade County (605) 719-5650
PAUL R MILLER MD
Orthopaedic Surgery
2805 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Waller's NPI number?

The NPI number for William Waller is 1528069515. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is William Waller located?

William Waller practices at 2805 5th St 220, Rapid City, SD 57701. The listed phone number is (605) 348-1084.

What is William Waller's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for William Waller was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.