Organization Active NPI

Barbara L Williams MD

  • Internal Medicine Physician
  • South Bend, IN
National Provider Identifier
1730134800
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BARBARA L WILLIAMS MD
Practice address
707 N Michigan St
Suite 115
South Bend, IN 46601-1067
Phone
(574) 233-8170
NPI assigned
May 24, 2006
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Barbara L Williams, MDNPI 1932107661
Title
Owner
Phone
(574) 233-8170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

707 N Michigan St
Suite 115
South Bend, IN 46601-1067

Mailing address

707 N Michigan St
Suite 115
South Bend, IN 46601-1067
Phone (574) 233-8170

Other identifiers 3

IdentifierTypeStateIssuer
110240665OtherINRAIL ROAD MEDICARE
000000227959OtherINANTHEM
100091510MedicaidIN

National Provider Directory

National Provider Directory

Locations

707 N Michigan St
Ste 115
South Bend, IN 46601
Phone (574) 233-8170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1730134800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST",
            "address_2": "SUITE 115",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011067",
            "telephone_number": "574-233-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST",
            "address_2": "SUITE 115",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011067",
            "telephone_number": "574-233-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA L WILLIAMS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-233-8170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110240665",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000227959",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.