Individual provider Active NPI

Brian Williams

  • Surgical Critical Care Physician
  • Chicago, IL
National Provider Identifier
1205904190
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
036149381 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 036149381 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwilliams180634@uchospital.direct-ci.com University of Chicago Physicians Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110207000817 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9335211481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians
Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

101 Rim Rd
Suite 300B
El Paso, TX 79902-3667
Phone (915) 263-7080

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (972) 566-6200

4401 Booth Calloway Rd
N Richland Hills, TX 76180-7371
Phone (817) 255-1000

Hospital & facility affiliations

  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 30, 2010 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Jan 9, 2018 Accepting new patients
Texas Trauma Medical Group, PLLC CurrentSince Jun 9, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Surgery CurrentSince Sep 30, 2010 Accepting new patients
Surgery Associates of NTX, PLLC Surgery CurrentSince Nov 7, 2024 Accepting new patients
Surgery Associates of North Texas P a Surgery Current Accepting new patients
Elite Orthopaedics of Irving PLLC PastSince Dec 16, 2012 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

100 E Alton Gloor Blvd
Ste 210
Brownsville, TX 78526
Phone (956) 350-7105

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3537 S Interstate 35 E
Ste 318
Denton, TX 76210
Phone (214) 334-1125

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

3537 S Interstate 35 E
Ste 200
Denton, TX 76210
Phone (940) 384-4595

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

10201 Gateway Blvd W
Ste 130
El Paso, TX 79925
Phone (915) 594-1000

101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

6750 N MacArthur Blvd
Ste 270
Irving, TX 75039
Phone (214) 222-8150

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4001 W 15th St
Ste 340
Plano, TX 75093
Phone (972) 202-7080

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: bwilliams180634@uchospital.direct-ci.com

Organizations & group practices 8

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 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1205904190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR",
            "address_2": "SUITE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036149381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliams180634@uchospital.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "University of Chicago Physicians Group",
            "address_1": "5841 S Maryland Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.