Organization Active NPI

Brice J. Williams, M.D., P.C.

  • Ophthalmology Physician
  • Ogden, UT
National Provider Identifier
1437416500
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7471494-1205 Issued in UT
Legal business name
BRICE J. WILLIAMS, M.D., P.C.
Practice address
4403 Harrison Blvd.
Ste-3600
Ogden, UT 84403-3285
Phone
(801) 387-3550
Fax
(801) 387-3555
NPI assigned
Apr 13, 2012
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Mark Paskett, MBA
Title
Practice Manager
Phone
(801) 387-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7471494-1205 UT Primary

Addresses

Primary practice location

4403 Harrison Blvd.
Ste-3600
Ogden, UT 84403-3285

Mailing address

4403 Harrison Blvd.
Ste-3600
Ogden, UT 84403-3285
Phone (801) 387-3550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwilliams@ClaysonWilliams.direct.eyemdemr.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000444 UT Part B Supplier - Clinic/Group Practice 0941463988 Receives reassigned benefits from 2 practitioners
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bwilliams@claysonwilliams.direct.eyemdemr.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1437416500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD.",
            "address_2": "STE-3600",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033285",
            "telephone_number": "801-387-3550",
            "fax_number": "801-387-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD.",
            "address_2": "STE-3600",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033285",
            "telephone_number": "801-387-3550",
            "fax_number": "801-387-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICE J. WILLIAMS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "PASKETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "801-387-3556",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "7471494-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliams@ClaysonWilliams.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "E Rx Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "4403 Harrison Blvd.",
            "address_2": "Ste-3600",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844033285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.