Active NPI
Bert Edward Williams, MD
- Urology Physician
- Frederick, MD
National Provider Identifier
1497813208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0054397
- Practice address
- 97 Thomas Johnson Drive
Suite 102
Frederick, MD 21702-4379 - Phone
- (301) 694-0414
- Fax
- (301) 694-0415
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0054397 | MD | Primary |
Addresses
Primary practice location
97 Thomas Johnson Drive
Suite 102
Frederick, MD 21702-4379
Mailing address
97 Thomas Johnson Drive
Suite 102
Frederick, MD 21702-4379
Phone (301) 694-0414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808003800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Urology
- Education
- Howard University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
97 Thomas Johnson Dr
Suite 102
Frederick, MD 21702-4379
Phone (301) 694-0414
Hospital & facility affiliations
- Frederick Health Hospital
- Gettysburg Hospital
- Upmc Hanover
Merit-based Incentive Payment System (MIPS)
- Final score
- 30 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0054397 | MD | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Urology Physician
- Frederick, MD
- NPI 1871781435
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1497813208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 THOMAS JOHNSON DRIVE",
"address_2": "SUITE 102",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024379",
"telephone_number": "301-694-0414",
"fax_number": "301-694-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 THOMAS JOHNSON DRIVE",
"address_2": "SUITE 102",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024379",
"telephone_number": "301-694-0414",
"fax_number": "301-694-0415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0054397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808003800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.