Brian Jeffery Williams, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5322538-1205 Issued in UT

Practice address

602 Fort Union Blvd
2ND Floor
Midvale, UT 84047-2216

Phone

(801) 313-1010

Fax

(801) 747-2116

NPI assigned

Jul 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

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 Utah School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.83 of 100Reported as individual

Quality

69.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Brian J Williams MD PC

  • Dermatology Physician
  • Midvale, UT
  • NPI 1255502050
  Medicare reassignment NPD Authorized official
• M R Hinckley MD PLLC

  • MOHS-Micrographic Surgery Physician
  • Midvale, UT
  • NPI 1902171895
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1235162199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 FORT UNION BLVD",
            "address_2": "2ND FLOOR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472216",
            "telephone_number": "801-313-1010",
            "fax_number": "801-747-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 FORT UNION BLVD",
            "address_2": "2ND FLOOR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472216",
            "telephone_number": "801-313-1010",
            "fax_number": "801-747-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "JEFFERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "5322538-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LICENSE NUMBER",
            "identifier": "D5439",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235162199",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kira Sue Whaley, APRN
• Douglas Lynn Whittaker, LCSW
• Julie Wilcox, LMT
• Michelle Christine Wilcox, LCSW, LASUDC
• Wildflower Telehealth Network Inc.
• Janet L Williams, PA-C
• Erin J Wilson
• Reggie D Wilson, LCSW
• Scott Wiltbank
• Kathryn Wingard, LCMHC, ATR-BC

• Dermatology Physician in Midvale, UT
• Providers in Midvale, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.