DR. WILLIAM P BRISTOL MD
NPI 1962523639
Pediatrics - Adolescent Medicine in Brunswick, GA
About Dr. William P Bristol Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM P BRISTOL MD (NPI 1962523639) is an individual adolescent medicine provider in Brunswick, Georgia, licensed in Georgia (023334) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. William P Bristol Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show William Bristol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brunswick, GA 31520
- Reassigned Medicare billing, Georgia enrollment
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Bristol's NPI number?
The NPI number for William Bristol is 1962523639. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is William Bristol located?
William Bristol practices at 3300 Fourth Street, Brunswick, GA 31520. The listed phone number is (912) 466-5870.
What is William Bristol's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is William Bristol enrolled in Medicare?
Yes. William Bristol is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for William Bristol's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Bristol reassigns Medicare benefits to Coastal Community Health Services, Inc. (Brunswick, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Bristol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for William Bristol was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. William P Bristol, MD · NPI 1962523639
Adolescent Medicine physician in Brunswick, Georgia. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1962523639 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 023334 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 FOURTH STREET, Brunswick, GA 31520-3779
- **Phone:** (912) 466-5870 · **Fax:** (912) 466-5883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Coastal Community Health Services, Inc. (NPI 1841042074, Brunswick, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962523639) · Data from the CMS NPPES public registry.