Healthcare Provider Details

I. General information

NPI: 1952376352
Provider Name (Legal Business Name): WILLIAM BUCHANAN WORKMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 N WIGET LN STE 100
WALNUT CREEK CA
94598-2450
US

IV. Provider business mailing address

390 N WIGET LN STE 100
WALNUT CREEK CA
94598-2450
US

V. Phone/Fax

Practice location:
  • Phone: 925-944-0110
  • Fax: 925-944-0960
Mailing address:
  • Phone: 925-944-0110
  • Fax: 925-944-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA72343
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA72343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: