BERNARD M. WILLIAMS, MD


Address: 560 Loblolly Ln, Charlottesville, VA 22903-7655
Phone: 4342964564

BERNARD M. WILLIAMS, MD (NPI# 1801338579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801338579
Entity Type Organization
Organization Name BERNARD M. WILLIAMS, MD
Practice Address 560 Loblolly Ln
Charlottesville
VA 22903-7655
Practice Telephone 4342964564
Mailing Telephone 4342964564
Enumeration Date 2016-11-13
Last Update Date 2016-11-13
Authorized Official Name DR. BERNARD MOORE WILLIAMS (PHYSICIAN)
Authorized Official Telephone 4342964564
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
0101017020 VA Ambulatory Health Care Facilities

Office Location

Street Address 560 LOBLOLLY LN
City CHARLOTTESVILLE
State VA
Zip Code 22903-7655

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1497856090 Region Ten Community Community Services Board Clinic/Center 800 Preston Ave, Charlottesville, VA 22903-4420 2006-09-26

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1720609837 Healthy Mind Pllc Clinic/Center 6551 Continental St, Williamsburg, VA 23188-7586 2020-04-29
1942855622 Destine for Greatness, LLC Clinic/Center 1035 Bryce Ln, Virginia Beach, VA 23464-4500 2019-08-08
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1710449327 Kemet Health One LLC Clinic/Center 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 2019-04-02
1134680796 Your Path Counseling Center LLC Clinic/Center 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 2019-03-27
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1679040976 Hidden Roots Mental Health LLC Clinic/Center 205 E Broadway Ste 200, Hopewell, VA 23860-2809 2018-10-25
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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