Individual provider Active NPI

Brian Robert Williams, DC

  • Chiropractor
  • Catheys Valley, CA
National Provider Identifier
1083702856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0157560 Issued in CA
Practice address
2660 Hwy 140
Ste D
Catheys Valley, CA 95306
Phone
(209) 742-4081
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0157560 CA Primary

Addresses

Primary practice location

2660 Hwy 140
Ste D
Catheys Valley, CA 95306

Mailing address

PO Box 127
2660 Hwy 140 Suite D
Catheys Valley, CA 95306
Phone (209) 742-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001129 CA Practitioner - Chiropractic 6204829435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0157560CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Chiropractic Clinic, Inc CurrentSince Jan 1, 1984 Accepting new patients

Locations

2801 G St
Merced, CA 95340
Phone (209) 742-4081

460 W 25th St
Merced, CA 95340
Phone (209) 233-9732

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083702856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "2660 HWY 140 SUITE D",
            "city": "CATHEYS VALLEY",
            "state": "CA",
            "postal_code": "95306",
            "telephone_number": "209-742-4081",
            "fax_number": "209-742-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HWY 140",
            "address_2": "STE D",
            "city": "CATHEYS VALLEY",
            "state": "CA",
            "postal_code": "95306",
            "telephone_number": "209-742-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0157560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catheys Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.