NPIMap

Individual provider Active NPI

William Clarence Brink, MD

  • Internal Medicine Physician
  • Winchester, VA
National Provider Identifier
1619933447
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101054044 Issued in VA
Practice address
190 Campus Blvd
Suite 200
Winchester, VA 22601-2872
Phone
(540) 662-6135
Fax
(540) 662-5845
NPI assigned
Apr 21, 2006
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101054044 VA Primary

Addresses

Primary practice location

190 Campus Blvd
Suite 200
Winchester, VA 22601-2872

Mailing address

190 Campus Blvd
Suite 200
Winchester, VA 22601-2872
Phone (540) 662-6135

Other identifiers 9

IdentifierTypeStateIssuer
C00085OtherVAMEDICARE GROUP
2119631OtherMAMSI PROFESSIONAL
3810003817OtherWVWV MEDICAID GROUP
000433417OtherWVWV BLUE SHIELD
43936OtherSENTARA PROFESSIONAL
006051987MedicaidVA
08243600000OtherQUALCHOICE PROFESSIONAL
0079497000MedicaidWV
211017OtherANTHEM PROFESSIONAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address williambrink@winchesterim.direct.emds.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000671 VA Practitioner - Internal Medicine 3072574367 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians
Winchester Internal Medicine, IncGroup PAC ID 3476443813, 8 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

1880 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-6721

190 Campus Blvd
Suite 200
Winchester, VA 22601-2872
Phone (540) 662-6135

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101054044VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Sep 18, 1996 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Internal Medicine, Inc Internal Medicine CurrentSince Jul 22, 1996 Accepting new patients
Winchester Medical Center CurrentSince Sep 18, 1996 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince May 1, 2012 Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 662-0306

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFCDD
  • Direct secure messaging: william.brink@wimi.eclinicaldirectplus.com

Organizations & group practices 8

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 11

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1619933447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-662-6135",
            "fax_number": "540-662-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-662-6135",
            "fax_number": "540-662-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "WILLIAM",
        "middle_name": "CLARENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C00085",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROFESSIONAL",
            "identifier": "2119631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID GROUP",
            "identifier": "3810003817",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BLUE SHIELD",
            "identifier": "000433417",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA PROFESSIONAL",
            "identifier": "43936",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006051987",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE PROFESSIONAL",
            "identifier": "08243600000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079497000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROFESSIONAL",
            "identifier": "211017",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williambrink@winchesterim.direct.emds.com",
            "affiliation": "N",
            "address_1": "190 Campus Blvd",
            "address_2": "Suite 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.