Active NPI
Brian L Williams
- Contractor
- Bellevue, NE
National Provider Identifier
1720892177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 3747A0650X
- Practice address
- 2703 Alberta Ave
Bellevue, NE 68147-2468 - Phone
- (402) 672-4846
- NPI assigned
- Feb 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 3747A0650X | NE | Primary |
Addresses
Primary practice location
2703 Alberta Ave
Bellevue, NE 68147-2468
Mailing address
2703 Alberta Ave
Bellevue, NE 68147-2468
Phone (402) 672-4846
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3747A0650X | NE | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1720892177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 ALBERTA AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681472468",
"telephone_number": "402-672-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 ALBERTA AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681472468",
"telephone_number": "402-672-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRIAN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NE",
"license": "3747A0650X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.