Organization Active NPI

B E Williamson DC PC

  • Clinic/Center
  • Wheaton, IL
National Provider Identifier
1295981264
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038003694 Issued in IL
Legal business name
B E WILLIAMSON DC PC
Practice address
100 W Roosevelt Rd
Suite A4-104
Wheaton, IL 60187-5260
Phone
(630) 682-0575
Fax
(630) 682-0581
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Barry Edward Williamson, DCNPI 1023135985
Title
President
Phone
(630) 682-0575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038003694 IL Primary

Addresses

Primary practice location

100 W Roosevelt Rd
Suite A4-104
Wheaton, IL 60187-5260

Mailing address

100 W Roosevelt Rd
Suite A4-104
Wheaton, IL 60187-5260
Phone (630) 682-0575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000802 IL Part B Supplier - Clinic/Group Practice 8022182252 Receives reassigned benefits from 1 practitioner
Practice locations: Wheaton, IL

National Provider Directory

National Provider Directory

Locations

100 W Roosevelt Rd
Ste A4-104
Wheaton, IL 60187
Phone (630) 682-0575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1295981264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W ROOSEVELT RD",
            "address_2": "SUITE A4-104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875260",
            "telephone_number": "630-682-0575",
            "fax_number": "630-682-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROOSEVELT RD",
            "address_2": "SUITE A4-104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875260",
            "telephone_number": "630-682-0575",
            "fax_number": "630-682-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B E WILLIAMSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-682-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038003694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.