Individual provider Active NPI

Brian Roger Williams, M.D.

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1477827483
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD461735 Issued in PA
Practice address
100 E Campus View Blvd Ste 100
Columbus, OH 43235-8628
Phone
(412) 359-8743
Fax
(412) 359-8233
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD461735 PA Primary

Addresses

Primary practice location

100 E Campus View Blvd Ste 100
Columbus, OH 43235-8628

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-8743

Other identifiers 1

IdentifierTypeStateIssuer
103319785MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524002550 OH Practitioner - Diagnostic Radiology 1658641147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

3525 Olentangy River Rd
Suite 5360
Columbus, OH 43214-3937
Phone (614) 340-7747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD461735PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients

Locations

100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (412) 359-8743

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone (614) 340-7747

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1477827483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-8743",
            "fax_number": "412-359-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358628",
            "telephone_number": "412-359-8743",
            "fax_number": "412-359-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD461735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103319785",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.