Active NPI
Rebecca J Williams, MD
- Gynecology Physician
- Bingham Farms, MI
National Provider Identifier
1275533101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 4301040716
- Practice address
- 31500 Telegraph Rd
220
Bingham Farms, MI 48025-4367 - Phone
- (248) 258-2332
- Fax
- (248) 258-3020
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4301040716 | MI | Primary |
Addresses
Primary practice location
31500 Telegraph Rd
220
Bingham Farms, MI 48025-4367
Mailing address
31500 Telegraph Rd
220
Bingham Farms, MI 48025-4367
Phone (248) 258-2332
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0633869 | Other | MI | BLUE CARE NETWORK |
| 4408475 | Medicaid | MI | |
| 4036146 | Other | MI | AETNA |
| 0633869 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301040716 | MI | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1275533101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "220",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-258-2332",
"fax_number": "248-258-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "220",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-258-2332",
"fax_number": "248-258-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301040716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "0633869",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4408475",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4036146",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0633869",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.