Provider Demographics
NPI:1609306505
Name:CREGAR, WILLIAM MASON (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MASON
Last Name:CREGAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4601 PARK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2290
Mailing Address - Country:US
Mailing Address - Phone:704-696-2256
Mailing Address - Fax:704-945-7681
Practice Address - Street 1:1915 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1101
Practice Address - Country:US
Practice Address - Phone:704-323-3000
Practice Address - Fax:704-323-3537
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2022-01107207X00000X, 207X00000X
IN01091078A207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1609306505Medicaid