Bruce Lawrence Williams-Burden, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10000375 Issued in WA

Practice address

1660 S Columbian Way
Seattle, WA 98108-1532

Phone

(206) 764-2245

Fax

(206) 764-2753

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508976531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16229 SE 31ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085704",
            "telephone_number": "425-644-2215",
            "fax_number": "206-764-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-764-2245",
            "fax_number": "206-764-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-BURDEN",
        "first_name": "BRUCE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10000375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Vesneski
• William Pentecost, OD, PLLC
• Kyle Andrew Williams Brown, MD
• Susan L Williams Judge, ARNP
• Karly Ann Williams Silva, MD
• Jennifer Williams-Van Wyk
• Alexis Williams, LMP
• Alix Nicole Williams, LICSW
• Amber Lashanna Williams, L.M.P
• Amelia Blean Williams, RN

• Surgical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.