Active NPI
Barbara L Williams MD
- Internal Medicine Physician
- South Bend, IN
National Provider Identifier
1730134800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara L Williams, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110240665 | Other | IN | RAIL ROAD MEDICARE |
| 000000227959 | Other | IN | ANTHEM |
| 100091510 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- South Bend, IN
- NPI 1932107661
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.