NPIMap

Individual provider Active NPI

Jeffrey M Williams, M.D.

  • Dermatology Physician
  • Bozeman, MT
National Provider Identifier
1538371133
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
12373 Issued in MT
Practice address
815 N 5TH Ave Unit 202
Bozeman, MT 59715-2884
Phone
(406) 545-2555
NPI assigned
May 4, 2007
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 12373 MT Primary
Dermatology Physician 207N00000X 21960 ND

Addresses

Primary practice location

815 N 5TH Ave Unit 202
Bozeman, MT 59715-2884

Mailing address

815 N 5TH Ave Unit 202
Bozeman, MT 59715-2884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101011000956 MT Practitioner - Dermatology 2567654478 Reassigns benefits to 1 organization
I20250110002653 ND Practitioner - Dermatology 2567654478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

4656 40TH Ave S
Fargo, ND 58104-4397

815 N 5TH Ave
Unit 202
Bozeman, MT 59715-2884
Phone (406) 545-2555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
92.95
Improvement activities
40
Cost
79.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions270
Removal or shaving of skin growth1-10
Skin biopsy95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12373MTMDDermatology Physician
21960NDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jan 20, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 20, 2025 Accepting new patients
Epiphany Dermatology of Montana, PLLC Dermatology CurrentSince Jun 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

24 E Broadway St
Butte, MT 59701
Phone (406) 310-1376

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: jeff.williams@epiphanyderm.emadirect.md
  • Direct secure messaging: jwilliams3@billingsclinic.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1538371133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N 5TH AVE UNIT 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N 5TH AVE UNIT 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152884",
            "telephone_number": "406-545-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "12373",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "21960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.