BRENT S WILLIAMS MD
NPI 1487643813
Family Medicine in Glencoe, MN

Q: What is Brent Williams's NPI number?

The NPI number for Brent Williams is 1487643813. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Brent Williams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Williams was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2005PECOS Enrolled

1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICES, GLENCOE, MN 55336(320) 864-3121(320) 864-7887 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Brent S Williams Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT S WILLIAMS MD (NPI 1487643813) is an individual family medicine provider in Glencoe, Minnesota, licensed in Minnesota (31694) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487643813

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRENT S WILLIAMSCredential: MD

Location Address1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICESGlencoe, MN 55336-1416

Mailing Address1805 Hennepin Ave NGlencoe, MN 55336-1416 · (320) 864-3121 · Fax (320) 864-7887

Phone(320) 864-3121

Fax(320) 864-7887

Sole ProprietorNo

Enumeration DateOctober 18, 2005

Last NPPES UpdateMarch 4, 2014

✔ NPI 1487643813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 31694

Definition

Family 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.

1805 HENNEPIN AVE N, Glencoe, MN 55336

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Other Identifiers 2

Medicare UPIND64088

Medicare ID-Type Unspecified089003941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent S Williams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Brent Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.

42 mi

General Practice

5100 GAMBLE DR, STE 100
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1053466128 (952) 593-0779

Aeris Medical Group PLLC

42 mi

Multi-Specialty

2820 INGLEWOOD AVE S
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
50 clinicians in this Medicare group

NPI 1184228520 (763) 465-0500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ON-SITE PODIATRY, INC

Podiatrist (Foot & Ankle Surgery)