# DAVID B WILLIAMS MD PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861693897
- **Authorized official:** DAVID BERNARD WILLIAMS MD (PHYSICIAN)
- **Authorized official phone:** (606) 549-8244

## Contact information

- **Practice address:** 403 SYCAMORE ST, WILLIAMSBURG, KY 40769-1153
- **Practice address phone:** (606) 549-8244
- **Practice address fax:** (606) 549-0354
- **Mailing address:** 403 SYCAMORE ST, WILLIAMSBURG, KY 40769-1153
- **Mailing address phone:** (606) 549-8244
- **Mailing address fax:** (606) 549-0354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000049175 | BLUE CROSS BLUE SHIELD KY | KY |
| 05 | — | 64260714 | — | KY |
| 01 | — | C92026 | CUMBERLAND HEALTHCARE | KY |
| 01 | — | HUMANA | C13108 | KY |