NPIMap

Individual provider Active NPI

Reginald Gaylord Williams Jr., MD

  • Family Medicine Physician
  • Gold Beach, OR
National Provider Identifier
1225014632
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD08253 Issued in OR
Practice address
94180 2ND St
Gold Beach, OR 97444-8733
Phone
(541) 247-7047
Fax
(541) 247-0123
NPI assigned
Dec 16, 2005
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD08253 OR Primary

Addresses

Primary practice location

94180 2ND St
Gold Beach, OR 97444-8733

Mailing address

94180 2ND St
Gold Beach, OR 97444-8733
Phone (541) 274-3940

Other identifiers 2

IdentifierTypeStateIssuer
1770303968OtherORCURRY MEDICAL NORTH NPI
214296MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000075 OR Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 2860482866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Temple University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curry Health DistrictGroup PAC ID 2365352747, 7 clinicians

Practice addresses (Care Compare)

94180 2ND St
Gold Beach, OR 97444-8733
Phone (541) 247-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD08253ORMDFamily Medicine Physician
8253ORMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince May 1, 2002 Accepting new patients
North Bend Medical Center Inc CurrentSince May 1, 2002 Accepting new patients
Curry Health District CurrentSince Jan 1, 2026 Accepting new patients
Curry Health District CurrentSince Jun 23, 2015 Accepting new patients
Curry Health District Past Accepting new patients

Locations

648 Chetco Ave
Brookings, OR 97415
Phone (541) 412-2070

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

94180 2nd St
Gold Beach, OR 97444
Phone (541) 247-3940

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1225014632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94180 2ND ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448733",
            "telephone_number": "541-274-3940",
            "fax_number": "541-247-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94180 2ND ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448733",
            "telephone_number": "541-247-7047",
            "fax_number": "541-247-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REGINALD",
        "middle_name": "GAYLORD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD08253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY MEDICAL NORTH NPI",
            "identifier": "1770303968",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214296",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Beach, OR

Sources for this page

Verify at the official NPI Registry.