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BERT WILLIAMS M.D. LLC NPI 1871781435


NPI Information

NPI: 1871781435
Provider Name: BERT WILLIAMS M.D. LLC

Doing Business As: MID-MARYLAND UROLOGIC SERVICES

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 21D1011189

Address:
97 THOMAS JOHNSON DR
SUITE 102
FREDERICK, MD
ZIP 21702
Phone: (301) 694-0414
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BERT WILLIAMS M.D. LLC is an urology in Frederick, MD. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BERT WILLIAMS M.D. LLC NPI is 1871781435. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid-maryland Urologic Services.

The provider's business location address is:

97 THOMAS JOHNSON DR
SUITE 102
FREDERICK, MD
ZIP 21702-379
Phone: (301) 694-0414
Fax: (301) 694-0415

The provider's authorized official is Bert Edward Williams .
The authorized official title is Physician/doctor and has the following contact phone number (301) 694-0414.

The CLIA number assigned to this NPI record is 21D1011189 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/9/2007 and was last updated on 5/29/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyD0054397MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1544MMEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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