Blake Anthony Williams, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E-9143 Issued in AR

Practice address

14 Riordan Rd
Bella Vista, AR 72714-3516

Phone

(479) 876-8550

Fax

(479) 208-4266

NPI assigned

Apr 17, 2012

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Arkansas College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Dermatology PLLCGroup PAC ID 4082926803, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bawilliams@truedermatology.emadirect.md

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

• True Dermatology PLLC

  • Dermatology Physician
  • Fayetteville, AR
  • NPI 1386022283
  Medicare reassignment Care Compare group NPD
• Premier Dermatology & Skin Renewal Center

  • Clinical & Laboratory Dermatological Immunology Physician
  • Bentonville, AR
  • NPI 1912912361

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1194082057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RIORDAN RD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143516",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 E Stearns St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727036196",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 SE 30th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124290",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BLAKE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-9143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliams@truedermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1651 E Stearns St Ste 110",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727036196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ian Matthew Warren
• Jamie Lee Weaver, DPT
• Ashley Rose Webb, PT, DPT
• Taylor Weston
• William Lawrence Yoos, O.D.,P.a. (Dr. Yoos Eye Care & Optical)
• Mallory Williams, PHARM.D
• Renee Denise Williams, APRN
• Carrie Ann Adele Willyard, M.S. CCC-SLP
• Tabitha Layne Wortham, PHARMD
• Larry Don Wright, MD

• Dermatology Physician in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.