Provider Demographics
NPI:1760433098
Name:HAYES, WILLIAM BRENDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRENDAN
Last Name:HAYES
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 1:4617 BRIARHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4609
Mailing Address - Country:US
Mailing Address - Phone:817-776-3621
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-4609
Practice Address - Country:US
Practice Address - Phone:608-263-8100
Practice Address - Fax:608-262-6247
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60074207L00000X
MEMD22759207L00000X
TXJ8572207L00000X
WI56749207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103430805Medicaid
TXP00647473OtherRAILROAD
TX8X1982OtherBCBS
TX806823200Medicaid
AR82516OtherMEDICARE PIN
MTX5423OtherMEDICARE PIN
TX103430804Medicaid
TX0050001168Medicare PIN