Active NPI
Jeffrey Alan Williams, D.C.
- Chiropractor
- Bluefield, VA
National Provider Identifier
1811073299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000728
- Practice address
- 1 Westwood Medical Park
Bluefield, VA 24605-2000 - Phone
- (276) 326-2273
- Fax
- (276) 326-6824
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000728 | VA | Primary |
Addresses
Primary practice location
1 Westwood Medical Park
Bluefield, VA 24605-2000
Mailing address
1 Westwood Medical Park
Bluefield, VA 24605-2000
Phone (276) 326-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131898000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120113000329 | VA | Practitioner - Chiropractic | 7810164985 | Practice locations: Bluefield, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Westwood Medical Park
Bluefield, VA 24605-2000
Phone (276) 326-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000728 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811073299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTWOOD MEDICAL PARK",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246052000",
"telephone_number": "276-326-2273",
"fax_number": "276-326-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WESTWOOD MEDICAL PARK",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246052000",
"telephone_number": "276-326-2273",
"fax_number": "276-326-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131898000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.