BRYANT M WILLIAMS (NPI# 1366937526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366937526 |
| Entity Type | Individual |
| Full Name | BRYANT M WILLIAMS |
| Credential | PA |
| Practice Address |
101 Hospital Rd Patchogue NY 11772-4897 |
| Mailing Address |
2622 2nd Ave Schenectady NY 12303-3181 |
| Practice Telephone | 6316547100 |
| Mailing Telephone | 5184293224 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306241559 | Bryant Williams | Music Therapist | 3701 Northpointe Dr, Denton, TX 76207-6018 | 2014-10-30 |
| 1154359172 | Bryant Bennett Williams Jr. | Pediatrics | 1339 S Madison St, Stockton, CA 95206-1751 | 2006-06-29 |
| 1053396606 | Bryant Fleming Williams | Surgery | 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301-3030 | 2005-12-07 |
| 1063031722 | Bryant Jake Williams Iv | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-04-13 |
| 1356712947 | Bryant Williams | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2015-10-08 |
| 1104246602 | Bryant Williams | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2014-04-23 |
| 1487953626 | Bryant Schell Williams | Pharmacist | 6500 George Washington Mem Hwy Ste B, Yorktown, VA 23692-2128 | 2011-03-25 |
| Street Address |
101 HOSPITAL RD |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523107 | Meghan Cabrera | Nurse Practitioner | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2019-08-12 |
| 1679049456 | Shannon Faith Landry | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772 | 2018-10-18 |
| 1306311600 | Adrian S Krueger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-10-12 |
| 1326523382 | Brandon Lee | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-09-26 |
| 1043791882 | Kathryn Elizabeth Walton | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-28 |
| 1508346248 | Brookhaven Memorial Hospital Medical Center, Inc. | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-21 |
| 1043799513 | Hospitalist Medicine Physicians of New York-tcg, PC | Internal Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1013496579 | Courtney Bofinger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1366920993 | Hospitalist Medicine Physician of New York - Patchogue, PC | Internal Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-06 |
| 1750868824 | Michelle Wintjen | Nurse Practitioner | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833557 | Naomi Lange | Physician Assistant | 117 Jayne Ave, Patchogue, NY 11772-2834 | 2019-07-20 |
| 1124291083 | Joann T Spinnato | Physician Assistant | 101 Gillette Ave, Patchogue, NY 11772-2514 | 2008-04-10 |
| 1396220646 | Shayna L Berretta | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2018-10-02 |
| 1063955474 | Gianna Flora | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2016-12-02 |
| 1205255080 | Kamini Mohan | Physician Assistant | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2014-04-09 |
| 1285988642 | Allison P Boyle | Physician Assistant | 107 N Ocean Ave, Patchogue, NY 11772-2012 | 2012-11-06 |
| 1821387937 | Elizabeth Anne Westendorf | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2011-03-30 |
| 1558670463 | Sam M Fassnacht | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2010-09-27 |
| 1003127622 | Joanna Tutrone | Physician Assistant | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2010-06-29 |
| 1801041835 | Laura Elizabeth Gil | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2008-11-18 |
| Find all providers in PATCHOGUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.