Healthcare Provider Details

I. General information

NPI: 1427143213
Provider Name (Legal Business Name): WILLIAM ARLAN ELMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 GREYABBEY DR
PINEHURST NC
28374-6705
US

IV. Provider business mailing address

69 GREYABBEY DR
PINEHURST NC
28374-6705
US

V. Phone/Fax

Practice location:
  • Phone: 772-538-8307
  • Fax:
Mailing address:
  • Phone: 772-538-8307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME75156
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME75156
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier266138100
Identifier TypeMEDICAID
Identifier StateFL
Identifier IssuerFlorida Medicaid Provider ID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: