{"npi":"1760588263","type":"NPI-1","status":"active","name":{"display":"William Fowlkes MD","other":[],"first":"WILLIAM","last":"FOWLKES","middle":"C","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"MD","license":"D0067685"},{"code":"2085N0700X","description":"Radiology","primary":false,"state":"MD","license":"D0067685"}]},"addresses":[{"purpose":"LOCATION","street_1":"67 THOMAS JOHNSON DR","city":"FREDERICK","state":"MD","postal_code":"217024863","country_code":"US","street_2":"SUITE 4","phone":"3016070444","fax":"3018314495"},{"purpose":"MAILING","street_1":"4110 ASPEN HILL RD","city":"ROCKVILLE","state":"MD","postal_code":"208532853","country_code":"US","street_2":"SUITE 200","phone":"3014385150","fax":"3014600199"}],"license":{"state":"MD","number":"D0067685"},"identifiers":[{"type_code":"01","label":"Other","value":"NPI","state":null,"issuer":"MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES"},{"type_code":"01","label":"Other","value":"NPI","state":null,"issuer":"MEDICARE - FREDERICK SITE"},{"type_code":"01","label":"Other","value":"P0064443","state":null,"issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"P00644447","state":null,"issuer":"RR MEDICARE"},{"type_code":"05","label":"Medicaid","value":"415144500","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"NPI","state":null,"issuer":"MEDICARE - KORSOWER & PION RADIOLGOY"},{"type_code":"05","label":"Medicaid","value":"NPI","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080731000420","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MD","pac_id":"3577560408"},{"enrlmt_id":"I20080813000160","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"DC","pac_id":"3577560408"}]},"enumeration_date":"2006-09-15","last_updated":"2013-12-20","_meta":{"source":"NPPES","snapshot_date":"2013-12-20","doc_url":"https://findmynpi.com/api"}}