Brian Morris Williams, PT
Individual provider Active NPI Specialist · Henagar, AL
NPI 1124121025 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124121025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1400 (AL)
- Practice address
- 17495 Al Hwy 75
Henagar, AL 35978 - Phone
- (256) 657-3626
- Fax
- (256) 657-3623
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1400 | AL | Yes |
Addresses
Primary practice location
17495 Al Hwy 75
Henagar, AL 35978
Mailing address
17495 Al Hwy 75
Henagar, AL 35978
Phone (256) 657-3626
Other providers in Henagar, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.