Provider Demographics
NPI:1275557167
Name:BILES, WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 STATE ROUTE 37
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4034
Mailing Address - Country:US
Mailing Address - Phone:203-746-6000
Mailing Address - Fax:
Practice Address - Street 1:96 STATE ROUTE 37
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812-4034
Practice Address - Country:US
Practice Address - Phone:203-746-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035949207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT035949OtherCONNECTICARE
CT2V3699OtherHEALTH NET
CT001359498Medicaid
CT428659OtherCOMMUNITY HEALTH NETWORK
CT1751924OtherUNITED HEALTHCARE
CTP00172163OtherRAILROAD MEDICARE
CT867412OtherAETNA US HEALTHCARE
NY114AT20OtherEMPIRE BC BS
NY1410200OtherNY MEDICAID
CTP654192OtherOXFORD HEALTH PLANS
CT2V3699OtherHEALTH NET
CTG54020Medicare UPIN