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

William T Bacon IV, PA-C

Individual provider Medical Physician Assistant · NPI 1730181942

William T Bacon IV, PA-C is a Physician Assistant in Santa Fe, New Mexico. Qualified in 2001, 25 years ago. Practices with Emergency Specialty Services LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
25
Licensed in
NM
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1650 Hospital Dr Ste 500
Santa Fe, NM 87505-4794
Phone: (505) 670-1976
Fax: (505) 983-7212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2001-PA36 (NM)

Record details

NPI number1730181942
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Emergency Specialty Services Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Fe