Brady Ronald Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010632 Issued in IL

Practice address

634 N Main St
Columbia, IL 62236-1438

Phone

(618) 281-4111

Fax

(618) 281-4112

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Chiropractic LLC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1366975005
  Medicare reassignment NPD Authorized official
• Patton Chiropractic, Inc.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1699158345
  NPD
• Columbia Doctors Group, SC

  • Specialist
  • Columbia, IL
  • NPI 1609928936
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1821140112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 COLUMBIA CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362561",
            "telephone_number": "618-281-4111",
            "fax_number": "618-281-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 N MAIN ST",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361438",
            "telephone_number": "618-281-4111",
            "fax_number": "618-281-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRADY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #5608)
• Laurie Booth Watkins, LCPC, LPC
• John Edward White, DDS
• Jan Marie Whitman, MA,CCC,SLP
• Jennifer Harlin Wilhelm, DVM
• Haley Williams
• Julie Williams
• Kimberly Faye Williams, DC
• Sarah Williams, DPT
• Sierra N Wittenauer, DPT

• Chiropractor in Columbia, IL
• Providers in Columbia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.

Verify at the official NPI Registry.