Individual provider Active NPI

Bruce Barry Williams, D.O.

  • Obstetrics & Gynecology Physician
  • Manning, SC
National Provider Identifier
1922203371
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
062794 Issued in GA
Practice address
50 E Hospital St Ste 2
Manning, SC 29102-3149
Phone
(803) 433-0797
NPI assigned
Jun 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60850-21 WI
Obstetrics & Gynecology Physician 207V00000X 062794 GA Primary

Addresses

Primary practice location

50 E Hospital St Ste 2
Manning, SC 29102-3149

Mailing address

2850 Pelham CT
Orangeburg, SC 29118-1400
Phone (803) 395-3737

Other practice location 1

515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Other practice location 2

706 N 8th Ave
Dillon, SC 29536-2540
Phone (843) 841-3825

Other practice location 3

2850 Pelham Road
Orangeburg, SC 29118
Phone (803) 395-3737

Other identifiers 1

IdentifierTypeStateIssuer
102841321MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwilliMA558993@direct-ehr-ssmhc.com Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA, WI, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090909000245 GA Practitioner - Obstetrics/Gynecology 6608921093 Reassigns benefits to 2 organizations
I20130910000440 PA Practitioner - Obstetrics/Gynecology 6608921093 Reassigns benefits to 1 organization
I20180119001284 WI Practitioner - Obstetrics/Gynecology 6608921093 Reassigns benefits to 3 organizations
I20190819002640 SC Practitioner - Obstetrics/Gynecology 6608921093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

1942 Atkinson Rd
Suite 100
Lawrenceville, GA 30043-5004
Phone (678) 775-0600

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
062794GAMDObstetrics & Gynecology Physician
60850-21WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Dean Health Systems, Inc CurrentSince Aug 6, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Aug 14, 2025 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
McLeod Physician Associates II CurrentSince Oct 7, 2025 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2013 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Obstetrics & Gynecology CurrentSince Aug 12, 2019 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
Mercy Health System Corporation CurrentSince Dec 22, 2017 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 7, 2025 Accepting new patients
Gwinnett Physician Group, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Aug 12, 2019 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 22, 2017 Accepting new patients
McLeod Health Clarendon Obstetrics & Gynecology CurrentSince Aug 14, 2025 Accepting new patients
Dean Health Systems, Inc. CurrentSince Aug 6, 2025 Accepting new patients
Musc Community Physicians Obstetrics & Gynecology Current Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Latrobe Area Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Gwinnett Medical Group, Inc PastSince Apr 1, 2024 Accepting new patients
Piedmont Providers LLC PastSince Dec 10, 2018 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Rocdale Physician Practices, LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1942 Atkinson Rd
Ste 100
Lawrenceville, GA 30043
Phone (678) 775-0600

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1010 Ligonier St
Latrobe, PA 15650
Phone (724) 539-1671

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

100 Excela Health Dr
Ste 302
Latrobe, PA 15650
Phone (724) 539-8581

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

706 N 8th Ave
Dillon, SC 29536
Phone (843) 777-5605

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 433-0797

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

2850 Pelham Ct
Orangeburg, SC 29118
Phone (803) 395-3737

651A Harry C Raysor Dr
St Matthews, SC 29135
Phone (803) 395-3737

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581

Interoperability endpoints

  • Direct secure messaging: bwilliams1@direct.excelahealth.org
  • Direct secure messaging: bwilliams558993@direct-ehr-ssmhc.com

Organizations & group practices 30

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

View all 30

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1922203371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PELHAM CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181400",
            "telephone_number": "803-395-3737",
            "fax_number": "803-531-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HOSPITAL ST STE 2",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023149",
            "telephone_number": "803-433-0797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 N 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "SC",
            "postal_code": "295362540",
            "country_code": "US",
            "telephone_number": "843-841-3825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 Pelham Road",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "29118",
            "country_code": "US",
            "telephone_number": "803-395-3737",
            "fax_number": "803-531-0133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRUCE",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "60850-21",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "062794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102841321",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliMA558993@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bwilliMA558993@direct-ehr-ssmhc.com",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.