National Provider Identifier Database

WILLIAM W BRODWATER IV, MD – NPI #1780189050
Pediatric Hematology-Oncology

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.


Contact Information

WILLIAM W BRODWATER IV, MD
2018 CLINCH AVENUE
KNOXVILLE, TN37916
Phone: 865-541-8266
Fax: 865-541-8553
Website:
Specialty Taxonomy Code
* Pediatric Hematology-Oncology 2080P0207X

* Indicates primary specialty

NPI Profile & details for WILLIAM W BRODWATER IV

NPI Number 1780189050
Credentials MD
Entity Individual
Enumeration date 03/28/2018
Last updated 08/15/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • TN License #: 71412
  • TN Medicaid: Q092616
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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