MR. BRUCE EDWARD WILLIAMS III (NPI# 1699339101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699339101 |
| Entity Type | Individual |
| Full Name | MR. BRUCE EDWARD WILLIAMS III |
| Credential | PA-C |
| Practice Address |
1206 Wasena Ave Sw Roanoke VA 24015-1728 |
| Practice Telephone | 4234910927 |
| Mailing Telephone | 4234910927 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110007013 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Dale Ave Se, Roanoke, VA 240131521 | 4234910927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104450220 | Bruce Sidney Williams | Behavior Technician | 63 Fury Lane Ne, Ludowici, GA 31316 | 2020-02-27 |
| 1326345315 | Bruce A Williams Jr. | Pharmacist | 7016 Ridge Haven Rd, Greensboro, NC 27410-9235 | 2011-02-28 |
| 1275778615 | Bruce Arnold Williams | Family Medicine | 535 Oregon Street, Birmingham, AL 35224-1834 | 2008-12-15 |
| 1841492675 | Bruce Warren Williams | Psychologist | 897 S Los Robles Ave, Pasadena, CA 91106-3716 | 2007-06-04 |
| 1609989961 | Bruce Mosby Williams | Dentist | 3177 E 146th Pl S, Bixby, OK 74008-8046 | 2006-08-17 |
| 1386757433 | Bruce Williams | Dentist | 122 San Antonio Drive, King City, CA 93930-0000 | 2006-08-15 |
| 1689617508 | Bruce Edward Williams | Podiatrist | 8120 Georgia St, Suite B, Merrillville, IN 46410-6390 | 2006-06-14 |
| 1902857055 | Bruce Douglas Williams | Counselor | 4080 1st Ave Ne, Suite 102a, Cedar Rapids, IA 52402-3160 | 2006-05-13 |
| 1790777001 | Bruce T. Williams | Optometrist | 311 Union St, Seattle, WA 98101-2205 | 2005-08-22 |
| 1417377763 | Bruce Williams | Physical Therapist | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2014-04-24 |
| Street Address |
1206 WASENA AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1275159287 | Paige Alexandra Hamay | Physician Assistant | 206 Williamson Rd Se Apt 227, Roanoke, VA 24011-1812 | 2020-06-25 |
| 1396360624 | Hannah Barnhill | Physician Assistant | 943 Murray Ave Se, Roanoke, VA 24013-1841 | 2020-06-12 |
| 1922623297 | Grace G Krotkov | Physician Assistant | 3410 Chaparral Dr Apt 133, Roanoke, VA 24018-4930 | 2020-06-12 |
| 1639791270 | Megan Thorn | Physician Assistant | 502 Allison Ave Sw Apt 5, Roanoke, VA 24016-4547 | 2020-05-16 |
| 1952923914 | Sydney Lucille Hughes Adams | Physician Assistant | 928 2nd St Sw Apt 1, Roanoke, VA 24016-4420 | 2020-05-13 |
| 1780206268 | Katherine Cole | Physician Assistant | 16 Old Whitmore Ave Se Apt 507, Roanoke, VA 24016-1236 | 2020-05-07 |
| 1205457033 | Kristin Marie Sammons | Physician Assistant | 6430 Archcrest Dr Apt 107, Roanoke, VA 24019-1185 | 2020-05-04 |
| 1407480460 | Amanda Joy Wheeler | Physician Assistant | 3626 Belle Ave Ne, Roanoke, VA 24012-6408 | 2020-02-28 |
| 1356981625 | Ryan Maurer Short | Physician Assistant | 1615 Westover Ave Sw # A, Roanoke, VA 24015-5215 | 2020-01-14 |
| Find all providers in ROANOKE | ||||
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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.