NPIMap

Individual provider Active NPI

Bradley S. Williams, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chambersburg, PA
National Provider Identifier
1265401707
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004762L Issued in PA
Practice address
100 Chambers Hill Dr Ste 101
Chambersburg, PA 17201-7301
Phone
(717) 709-7986
Fax
(717) 261-4924
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004762L PA Primary

Addresses

Primary practice location

100 Chambers Hill Dr Ste 101
Chambersburg, PA 17201-7301

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other practice location 1

1977 Market Square Blvd
Waynesboro, PA 17268-3811
Phone (717) 762-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101110000929 PA Practitioner - Podiatry 6103027800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rural Health CenterGroup PAC ID 5496663312, 44 clinicians

Practice addresses (Care Compare)

1905 Market Square Blvd
Waynesboro, PA 17268-3811
Phone (717) 762-6300

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004762LPAMDFoot & Ankle Surgery Podiatrist
01366MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Jul 1, 2019 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Jul 1, 2019 Accepting new patients

Locations

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

100 Chambers Hill Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 709-7986

22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985

767 5th Ave
Ste A
Chambersburg, PA 17201
Phone (717) 264-1504

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

1905 Market Square Blvd
Waynesboro, PA 17268
Phone (717) 762-6300

Interoperability endpoints

  • Direct secure messaging: bwilliams241993@wellspan.direct-ci.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1265401707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHAMBERS HILL DR STE 101",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017301",
            "telephone_number": "717-709-7986",
            "fax_number": "717-261-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1977 Market Square Blvd",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172683811",
            "country_code": "US",
            "telephone_number": "717-762-6300",
            "fax_number": "717-762-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRADLEY",
        "middle_name": "S.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004762L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.