Chester Bruce Williams

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6878 Old 125 Rd
Scotland Neck, NC 27874-8963

Phone

(252) 673-5080

NPI assigned

Dec 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• A Better Chance a Better Community

  dba Abc2

  • Meals Provider
  • Scotland Neck, NC
  • NPI 1447903588
  NPD Authorized official

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1285394056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 WILLIAMS SCOTT RD",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278238505",
            "telephone_number": "252-673-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6878 OLD 125 RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278748963",
            "telephone_number": "252-673-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHESTER",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wandalyn Isaac Teague, LPC/NCC
• United Medical Supplies Inc
• United Services Group Inc
• Latara Wade, PTA
• Wescare Professional Services, LLC.
• Kristi Britton Willoughby, COTA/L
• Rudolph M Wittkugel, PT, DPT

• Community Health Worker in Scotland Neck, NC
• Providers in Scotland Neck, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.