Provider Demographics
NPI:1316998362
Name:CONKRIGHT, WILLIAM A (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:CONKRIGHT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:931 HIGHLAND BLVD STE 3130
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6914
Practice Address - Country:US
Practice Address - Phone:406-414-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000036104207RH0003X
WI57115-20207RH0003X
KY37154207RH0003X
MT118667207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4079558OtherBCBS OF TN
020248399OtherDEPT OF LABOR
TN000000236076OtherUNISON HEALTH PLAN MEDICARE ADVANTAGE
KY097607OtherHEALTH ALLIANCE
WI1316998362Medicaid
TN23130OtherTLC- FAMILYCAREHLTHPLAN
KY478032OtherHEALTH LINK
KYH48373OtherBLUEGRASS FAMILY HEALTH
KY000000331509OtherANTHEM BCBS OF KY
KY1202917OtherCHA HEALTH
TN3875576Medicaid
KY64048978Medicaid
WI1316998362Medicaid
TN3875576Medicaid
WIK300307094Medicare PIN
020248399OtherDEPT OF LABOR
KY000000331509OtherANTHEM BCBS OF KY
KYH48373OtherBLUEGRASS FAMILY HEALTH