Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. William Bryan Bishop III, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366902850

Dr. William Bryan Bishop III, DO is an Emergency Medicine in Hattiesburg, Mississippi. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2019, 7 years ago. Practices with Emergency Service Associates PA, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone: (601) 296-3963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 29253 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366902850
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2019 (7 years in practice)
Group practice Emergency Service Associates Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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