Melba Williams Bryant

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401102687 Issued in VA

Practice address

4260 Crossings Blvd
Suite 2
Prince George, VA 23875-1400

Phone

(804) 452-5800

Fax

(804) 452-5801

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Melba Sertenia Williams Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Prince George, VA
  • NPI 1902934680
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1184844656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 CROSSINGS BLVD",
            "address_2": "SUITE 2",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751400",
            "telephone_number": "804-452-5800",
            "fax_number": "804-452-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 CROSSINGS BLVD",
            "address_2": "SUITE 2",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751400",
            "telephone_number": "804-452-5800",
            "fax_number": "804-452-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MELBA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401102687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELBA",
            "last_name": "WILLIAMS",
            "middle_name": "SERTENIA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha Carter Bland
• Kadarnath Shammie Boodram, MD
• James William Bowles, M.D.
• Branbur Dialysis LLC
• Lesli Antoinette Brown, M.D.
• Michael J Bunda, M.D.
• Mallory Taylor Cain, PA
• Caldwell Pediatrics and Wellness Center
• Melaney A Caldwell, MD
• Dolores Erika Cancino, LCSW-BACS

• General Practice Dentistry in Prince George, VA
• Providers in Prince George, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.