Organization Active NPI

Williams Family Medicine LLC

Doing business as Williams Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1841068236
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAMS FAMILY MEDICINE LLC
Doing business as
Williams Family Medicine
Practice address
3210 Grand Ave
Phoenix, AZ 85017-4504
Phone
(602) 243-6000
Fax
(602) 323-5367
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Yesenia Bravo
Title
Manager
Phone
(602) 243-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3210 Grand Ave
Phoenix, AZ 85017-4504

Mailing address

515 W Buckeye Rd Ste 304
Phoenix, AZ 85003-2693
Phone (602) 243-6000

Other names 1

  • Williams Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

515 W Buckeye Rd
Ste 304
Phoenix, AZ 85003
Phone (602) 243-6000

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1841068236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 304",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032693",
            "telephone_number": "602-243-6000",
            "fax_number": "602-323-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 GRAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174504",
            "telephone_number": "602-243-6000",
            "fax_number": "602-323-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-243-6000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williams Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.