Kenneth Brach Williams, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E-13569 Issued in AR

Practice address

4301 West Markham, Slot 584
Little Rock, AR 72205

Phone

(501) 686-5515

NPI assigned

Mar 29, 2018

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 AR

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 1

Specialty

Emergency Medicine

Education

University of Arkansas College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians

Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Shiloh Emergency Group PLLC

  • Emergency Medicine Physician
  • Sherwood, AR
  • NPI 1205458189
  Medicare reassignment Care Compare group NPD
• Baptist Medcare, Inc

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment Care Compare group

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

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • Home Delivered Meals
  • Hot Springs, AR
  • NPI 1033157375

  Hospital

  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1316144546
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Practice Physician
  • Hot Springs, AR
  • NPI 1497880124

  Hospital

  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • Psychiatric Hospital Unit
  • Hot Springs, AR
  • NPI 1619915949
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1689628232
  Care Compare affiliation
• Mercy Hospital Hot Springs

  • Clinic/Center
  • Hot Springs, AR
  • NPI 1174705388

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1972008969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WEST MARKHAM, SLOT 584",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-686-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "BRACH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-13569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Delane Williams, APN
• Kayla Williams, APRN
• Keely Sullivan Williams
• Keisha Williams
• Kelanda Williams
• Khadijah Williams, QBHP
• Khari Williams
• Kimberly Denise Williams, LCSW
• Krystalyn Gayle Williams, APRN
• Ladonna T Williams, COTA/L

• Emergency Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.