Individual provider Active NPI

Brian James Williams, D.C.

  • Chiropractor
  • Miami, FL
National Provider Identifier
1710446455
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12690 Issued in FL
Practice address
2801 NE 213TH St Ste 811
Miami, FL 33180-1264
Phone
(305) 874-0636
NPI assigned
Mar 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12690 FL Primary

Addresses

Primary practice location

2801 NE 213TH St Ste 811
Miami, FL 33180-1264

Mailing address

2801 NE 213TH St Ste 811
Aventura, FL 33180-1264
Phone (954) 682-2794

Other practice location 1

7815 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1345
Phone (561) 455-4850

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gomovesportschiro.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623003304 FL Practitioner - Chiropractic 5395167126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 NE 213TH St
Suite 811
Aventura, FL 33180-1264
Phone (305) 784-0636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12690FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Family and Sports Chiropractic, LLC Chiropractor CurrentSince Apr 17, 2025 Accepting new patients
Atlantic Grove Chiropractic & Rehabilitation, Inc. Chiropractor CurrentSince Jun 1, 2020 Accepting new patients
Marie L Williams DPM PLLC PastSince Dec 1, 2019 Accepting new patients

Locations

7815 NW Beacon Square Blvd
Ste 101
Boca Raton, FL 33487
Phone (561) 455-4850

2801 NE 213th St
Ste 811
Miami, FL 33180
Phone (305) 396-3858

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1710446455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 811",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801264",
            "telephone_number": "954-682-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 811",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801264",
            "telephone_number": "305-874-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7815 NW Beacon Square Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871345",
            "country_code": "US",
            "telephone_number": "561-455-4850",
            "fax_number": "561-995-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gomovesportschiro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2801 NE 213th St Ste 811",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.