Bruce P Williams MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01025479B Issued in IN

Legal business name

BRUCE P WILLIAMS MD PC

Practice address

4133 Gateway Blvd
Suite 210
Newburgh, IN 47630-7918

Phone

(812) 853-5671

Fax

(812) 853-5697

NPI assigned

Apr 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Parmer Williams, MD

Title

President

Phone

(812) 853-5671

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740242098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 GATEWAY BLVD",
            "address_2": "SUITE 210",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307918",
            "telephone_number": "812-853-5671",
            "fax_number": "812-853-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 GATEWAY BLVD",
            "address_2": "SUITE 210",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307918",
            "telephone_number": "812-853-5671",
            "fax_number": "812-853-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE P WILLIAMS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "PARMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-853-5671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01025479B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000214978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley N Brown, P.A.
• Hunter McKensie Brown, NP
• Jaliyah Brown, RBT
• Leslie Rae Pike Brown, M.D.
• Micahel W Brown, DDS
• Shelby Ann Brummer, RBT
• Kelsey Marie Bruner, RD
• Lily R Brunner, PA
• Kathryn A Bryan, MD
• Jessica Buchan

• Pediatrics Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.