BRUCE R WILLIAMS DO NPI 1003801622

Family Medicine in Blue Springs, MO

Individual Male Family Medicine PECOS Enrolled Accepts Medicare Years Experience 33

About BRUCE WILLIAMS

Bruce Williams is a provider established in Blue Springs, Missouri and his medical specialization is family medicine with more than 33 years of experience. The NPI number of Bruce Williams is 1003801622 and was assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number DO R9H16 (MO). The provider is registered as an individual and his NPI record was last updated 10 years ago. Bruce Williams is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Centerpoint Medical Center, St Marys Medical Center.

NPI

1003801622

Provider Name BRUCE R WILLIAMS DO
Provider Location Address1509 NW MOCK AVE BLUE SPRINGS, MO 64015
Provider Mailing Address1509 NW MOCK AVE BLUE SPRINGS, MO 64015
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1987
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-20-2005
Last Update Date12-21-2009

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.DO R9H16
License StateMO
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

BRUCE R WILLIAMS DO
1509 NW MOCK AVE
BLUE SPRINGS, MO
ZIP 64015
Phone: (816) 229-8187
Fax: (816) 229-1181

Get Directions

Mailing Address

BRUCE R WILLIAMS DO
1509 NW MOCK AVE
BLUE SPRINGS, MO
ZIP 64015
Phone: (816) 229-8187
Fax: (816) 229-1181

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4284765801
PECOS Enrollment IDI20100625000791
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 28Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 22Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 20Administration of influenza virus vaccine (HCPCS:G0008)
  • 16Automated urinalysis test (HCPCS:81003)
  • 15X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 12Pneumococcal vaccine for injection into muscle (HCPCS:90670)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
CENTERPOINT MEDICAL CENTER19600 EAST 39TH STREET
INDEPENDENCE, MO 64057
Acute Care Hospitals260095
ST MARYS MEDICAL CENTER201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Acute Care Hospitals260193

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
100452270AMEDICAID (05)KS
E65121MEDICARE UPIN (02)MO
242574432MEDICAID (05)MO
N990185MEDICARE ID-TYPE UNSPECIFIED (04)KS

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184024408SERAFINI MEDICAL, P.C.
Organization
Family Medicine1509 NW MOCK AVE
BLUE SPRINGS, MO 64015
(816) 224-3155
1366437972 BRUCE D SCULLY MD
Individual
Family Medicine1509 NW MOCK AVE
BLUE SPRINGS, MO 64015
(816) 229-8187

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.