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MR. WILLIAM BRUCE GADDIS BA CDC I NPI 1558836221


NPI Information

NPI: 1558836221
Provider Name: MR. WILLIAM BRUCE GADDIS, BA, CDC I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
122 1ST AVE STE 600
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-3800
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MR. William Bruce Gaddis, BA, CDC I is an addiction (substance use disorder) counselor in Fairbanks, AK. MR. William Bruce Gaddis, BA, CDC I NPI is 1558836221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

122 1ST AVE STE 600
FAIRBANKS, AK
ZIP 99701-899
Phone: (907) 459-3800

The enumeration date for this NPI number is 10/9/2018 and was last updated on 4/18/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)4350ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558836221MEDICAIDALASKA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.