Amg Medical Group (de), P.a.
Organization Active NPI Internal Medicine Physician · Pleasanton, CA
NPI 1114529757 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1114529757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- AMG MEDICAL GROUP (DE), P.A.
- Practice address
- 4900 Hopyard Rd Ste 100
Pleasanton, CA 94588-7101 - Phone
- (561) 901-1741
- NPI assigned
- Nov 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Williams, MD
- Title
- President
- Phone
- (844) 362-2559
Practitioners 1
-
Brian K Williams, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250609001974 | TX | Part B Supplier - Clinic/Group Practice | 5991215949 |
Receives reassigned benefits from 1 practitioner Practice locations: Austin, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
4900 Hopyard Rd Ste 100
Pleasanton, CA 94588-7101
Mailing address
7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599
Phone (844) 362-2559
Other providers in Pleasanton, CA
- American College of Behavioral Medicine
- American Current Care of California, a Medical Corporation
- American Home Health Care, LLC
- American Hospice and Home Health Care Services, Inc.
- American Hospice and Home Health Care Services,Inc.
- Darlene J Amidon-Brent
- Carley Amigone
- Amitabh Mohan Mathur, M.D., Inc.
- Ana Leonor a. Amog
- Amore Hospice, Inc.
All providers in Pleasanton, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.