NPI age
20 years
Enumerated 2005-10-12
● Active
Type 1 · Individual
William Robert Pettey, MD
Pettey is 1 of 112 surgery providers in Fort Worth and 1 of 3028 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3028 active surgery providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
6100 Harris Pkwy, #390
Fort Worth, TX 761324124
Mailing address
6100 Harris Pkwy, #390
Fort Worth, TX 761324124
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 131434601 | |
| 01 | 4254295 | AETNA |
| 01 | 91159 | AETNA |
Practice context
Part of a multi-provider practice. 94 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new surgery provider has been added in Fort Worth in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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