Individual
MICHAEL BRANDON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5177
(757) 452-3494
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5177
(757) 452-3494
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101249728
VA
208800000X
Urology Physician
N1955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216173901
—
TX
01
—
8CJ669
BCBS
TX
01
—
P00881579
RR MEDICARE
TX
Enumeration date
03/04/2010
Last updated
11/27/2013
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