WILLIAM BUCKLEY LYMAN M.D. NPI 1104212711

NPI Information

NPI: 1104212711
Provider Name: WILLIAM BUCKLEY LYMAN, M.D.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 10650 PARK RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 667-0575

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NPI Details

William Buckley Lyman, M.D. is a colon rectal surgery in Charlotte, NC with 11 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. William Buckley Lyman, M.D. NPI is 1104212711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

10650 PARK RD
CHARLOTTE, NC
ZIP 28210-538
Phone: (704) 667-0575

The NPI 1104212711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Colonoscopy (HCPCS:NAN13)
Hernia repair - groin (open) (HCPCS:NAN19)

The enumeration date for this NPI number is 4/9/2015 and was last updated on 7/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208600000X	Surgery	210170	NORTH CAROLINA	No
2	208600000X	Surgery	65962	TENNESSEE	No
3	208C00000X	Colon & Rectal Surgery	65962	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65962	OTHER	TENNESSEE	TN MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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