Active NPI
Eric Jeffrey Williams, DO
- Family Medicine Physician
- Bonham, TX
National Provider Identifier
1659472330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F3667
- Practice address
- 920 N Center St
Bonham, TX 75418-3751 - Phone
- (903) 583-6155
- Fax
- (903) 583-3158
- NPI assigned
- Sep 26, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F3667 | TX | Primary |
Addresses
Primary practice location
920 N Center St
Bonham, TX 75418-3751
Mailing address
PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-5986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3667 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Service Agency, Inc | Past | Accepting new patients | |
| Community Health Service Agency, 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.
-
dba Carevide
- Federally Qualified Health Center (FQHC)
- Bonham, TX
- NPI 1184607723
-
dba Carevide
- Federally Qualified Health Center (FQHC)
- Sulphur Springs, TX
- NPI 1184275711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659472330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1908",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754031908",
"telephone_number": "903-455-5986",
"fax_number": "903-454-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N CENTER ST",
"city": "BONHAM",
"state": "TX",
"postal_code": "754183751",
"telephone_number": "903-583-6155",
"fax_number": "903-583-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERIC",
"middle_name": "JEFFREY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F3667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonham, TX
Sources for this page
- 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.