MR. WILLIAM FRANKLIN MONTGOMERY JR. PA
NPI 1790710259
Physician Assistant - Medical in Copperas Cove, TX

Q: What is William Montgomery's NPI number?

The NPI number for William Montgomery is 1790710259. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is William Montgomery's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since July 12, 2006PECOS Enrolled

2401 WALKER PLACE BLVD, COPPERAS COVE, TX 76522(254) 547-5516(254) 547-5258 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. William Franklin Montgomery Jr. Pa NPPES

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

MR. WILLIAM FRANKLIN MONTGOMERY JR. PA (NPI 1790710259) is an individual medical provider in Copperas Cove, Texas, licensed in Texas (PA00108) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790710259

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. WILLIAM FRANKLIN MONTGOMERY JR.Credential: PA

Location Address2401 WALKER PLACE BLVDCopperas Cove, TX 76522-4025

Mailing Address2401 Walker Place BlvdCopperas Cove, TX 76522-4025 · (254) 547-5516 · Fax (254) 547-5258

Phone(254) 547-5516

Fax(254) 547-5258

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateFebruary 17, 2011

✔ NPI 1790710259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA00108

2401 WALKER PLACE BLVD, Copperas Cove, TX 76522

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Other Identifiers 3

Other86N594TX · Blue Cross/blue Shield

Medicare PIN85N011TX

Medicare UPINP00108TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Franklin Montgomery Jr. Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier12 claims24 services$13.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

JAMIE LEANN JONES FNP-C

Nurse Practitioner (Family)