Individual provider Active NPI

Bridgette Elaine Williams, FNP

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1104130806
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006341 Issued in NC
Practice address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone
(910) 667-3000
Fax
(910) 667-9758
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006341 NC Primary

Addresses

Primary practice location

2131 S 17TH St
Wilmington, NC 28401-7407

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 754-5453

Other practice location 2

800 Jefferson St
Ste 112
Whiteville, NC 28472-3710
Phone (910) 642-8164

Other practice location 3

5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 754-5453

Other practice location 4

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Other practice location 5

584 Hospital Dr NE
Unit E
Bolivia, NC 28422-0019
Phone (910) 754-5453

Other practice location 6

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address bwilliams77101@direct.nhrmc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017000716 NC Practitioner - Nurse Practitioner 3375739154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006341NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
Wha Medical Clinic PLLC Current Accepting new patients
Wilmington Health PLLC Current Accepting new patients
Wilmington Health PLLC CurrentSince Oct 15, 2014 Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Wilmington Endocrinology PA PastSince Mar 10, 2008 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients
Coastal Cardiovascular Associates, PA PastSince Sep 1, 2024 Accepting new patients

Locations

584 Hospital Dr NE
Unit E
Bolivia, NC 28422
Phone (910) 754-5453

1300 Bridge Barrier Rd
Ste 2
Carolina Beach, NC 28428
Phone (910) 458-4101

2000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 662-8765

1333 S Dickinson Dr
Leland, NC 28451
Phone (910) 332-0241

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

1717 Shipyard Blvd
Ste 220
Wilmington, NC 28403
Phone (910) 254-9464

5145 College Rd S
Wilmington, NC 28412
Phone (910) 662-6000

8108 Market St
#B
Wilmington, NC 28411
Phone (910) 686-2099

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBIAA
  • Direct secure messaging: bwilliams1253256@direct.novanthealth.org
  • Direct secure messaging: bridgette.williams.p1@direct.wilmingtonhealth.nextgenshare.com
  • Direct secure messaging: bridgette.williams.1@32151.direct.athenahealth.com
  • Direct secure messaging: bwilliams@crhn.cernerdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1104130806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-667-3000",
            "fax_number": "910-667-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Jefferson St",
            "address_2": "Ste 112",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723710",
            "country_code": "US",
            "telephone_number": "910-642-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 Hospital Dr NE",
            "address_2": "Unit E",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220019",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-668-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIDGETTE",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "584 Hospital Dr NE",
            "address_2": "Unit E",
            "city": "Bolivia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284220019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliams77101@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1415 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.