Bricklin Williams

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3467 W Hillsboro Blvd
Suite B
Deerfield Beach, FL 33442-9473

Phone

(954) 274-5619

Fax

(754) 227-5792

NPI assigned

Aug 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Assist at Ease, Inc

  • Surgical Physician Assistant
  • Deerfield Beach, FL
  • NPI 1104366616
  NPD Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1942677869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4201",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424201",
            "telephone_number": "954-274-5619",
            "fax_number": "754-227-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 W HILLSBORO BLVD",
            "address_2": "SUITE B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429473",
            "telephone_number": "954-274-5619",
            "fax_number": "754-227-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRICKLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "15-450",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF SURGICAL ASSITANTS",
            "identifier": "15-450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Williams
• Amber J Williams
• Angela Williams
• Ashley Williams
• Ayla Marie Williams
• Brittany Ann Williams
• Cassidy Williams
• Celestine Williams
• Centerrya Me'Shawn Williams
• Christina Williams

• Surgical Physician Assistant in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.