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Deactivated NPI 1689733065 Deactivated / Inactive NPI Male Practitioner

Dr. William Melton Bristow , MD

General Practice • San Diego, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Bristow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2006
NPI Deactivation Date April 27, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. William Bristow, MD was a registered General Practice practicing in San Diego, CA. Throughout an active medical career spanning 11 years, Dr. Bristow provided care at the practice location at 1550 MOORLAND DRIVE until profile deactivation on 2017-04-27.

Practice Location & Contact Primary Location

Practice Address

1550 Moorland Drive

San Diego, CA 92109

Telephone 8582730753
Fax 8584832287

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
270 Specialists

Practicing in San Diego, CA (2300 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C20412

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 27, 2017

Record deactivated on April 27, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1550 MOORLAND DRIVE, SAN DIEGO, CA 92109 (Tel: 8582730753)

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Updated Business Mailing Address July 08, 2007

Registered at 1550 MOORLAND DRIVE, SAN DIEGO, CA 92109 (Tel: 8582730753)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM BRISTOW, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #C20412 in CA)

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Initial NPI Registration & Enumeration December 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689733065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: July 08, 2007
Deactivation Date: April 27, 2017

Mailing Address

1550 Moorland Drive

San Diego, CA 92109

Phone: 8582730753

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.