Bryan Antoine Williams, is a
Rehabilitation Practitioner based in Pacoima, California. Bryan Antoine Williams is licensed to practice in * (Not Available) (license number ) and his current practice location is
12450 Van Nuys Blvd, Suite 200, Pacoima, California. He can be reached at his office (for appointments etc.) via phone at
(818) 896-1161.
NPI number for Bryan Antoine Williams is 1568754778 and his current mailing address is 12450 Van Nuys Blvd, Suite 200, Pacoima, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568754778.
Healthcare Provider's Profile
| Full Name | Bryan Antoine Williams |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 12450 Van Nuys Blvd, Pacoima, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568754778
- Provider Enumeration Date: 05/05/2011
- Last Update Date: 05/13/2013
Medical Identifiers
Medical identifiers for Bryan Antoine Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568754778 | NPI | - | NPPES |
| 6758 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Antoine Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bryan Antoine Williams,
12450 Van Nuys Blvd, Suite 200,
Pacoima, CA 91331-1391
Ph: () - | Bryan Antoine Williams,
12450 Van Nuys Blvd, Suite 200,
Pacoima, CA 91331-1391
Ph: (818) 896-1161 |
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