Active NPI
Bruce R Williams, MD
- Internal Medicine Physician
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00007478
- Practice address
- 805 E Lee St
Suite C
Enterprise, AL 36330-2368 - Phone
- (334) 348-8818
- Fax
- (334) 393-8773
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00007478 | AL | Primary |
Addresses
Primary practice location
805 E Lee St
Suite C
Enterprise, AL 36330-2368
Mailing address
805 E Lee St
Suite C
Enterprise, AL 36330-2368
Phone (334) 348-8818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000028379 | Medicaid | AL | |
| 51028379 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Hwy 231 S
Troy, AL 36081-3000
Phone (334) 670-5430
1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000
Hospital & facility affiliations
- Troy Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00007478 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Internal Medicine | Current | Accepting new patients |
| Troy Regional Physicians Inc | Current | Accepting new patients | |
| Troy Hospital Health Care Authority | Internal Medicine | Current | Accepting new patients |
| Houston County Healthcare Authority | Internal Medicine | Current | Accepting new patients |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Troy Regional Physicians Inc | Current | Accepting new patients | |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Northern Alabama Physicians, LLP | Current | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
101 Professional Ln
Enterprise, AL 36330
Phone (334) 347-3404
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
Interoperability endpoints
- bruce.williams.2@3503.direct.athenahealth.com
- bruce.williams.3@3503.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Specialist
- Troy, AL
- NPI 1003124421
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Decatur, AL
- NPI 1669618310
-
- Family Medicine Physician
- Troy, AL
- NPI 1275840779
Internal Medicine
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Hospitalist Physician
- Enterprise, AL
- NPI 1952845711
-
- Hospitalist Physician
- Dothan, AL
- NPI 1992178628
-
- Specialist
- Troy, AL
- NPI 1366750788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Troy, AL
- NPI 1770814626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1417907791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E LEE ST",
"address_2": "SUITE C",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302368",
"telephone_number": "334-348-8818",
"fax_number": "334-393-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E LEE ST",
"address_2": "SUITE C",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302368",
"telephone_number": "334-348-8818",
"fax_number": "334-393-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRUCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00007478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000028379",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51028379",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.