Dr. Blake Kent Williams
Family Doctor Family Doctor - Sports Medicine
780 Main St Ste 102
Great Barrington
, Massachusetts 01230
Dr. Blake Kent Williams
Family Doctor Family Doctor - Sports Medicine
780 Main St Ste 102
Great Barrington
, Massachusetts 01230
(317) 338-7494
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Blake Kent Williams
- 8414 Naab Rd Ste 120
- Indianapolis, IN
- Zip : 46260-1972
- Fax : (317) 338-7494
- Phone : (317) 338-7584
Second Address
- Dr. Blake Kent Williams
- 780 Main St Ste 102
- Great Barrington, MA
- Zip : 01230
- Phone : (413) 528-8643
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 272651 | MA |
| N | 207QS0010X | Family Doctor - Sports Medicine | 272651 | MA |
National Provider Identifier
| NPI | 1164764684 |
|---|---|
| Provider Name | Dr. Blake Kent Williams |
| First Address | Indianapolis, IN 46260-1972 |
| Second Address | Great Barrington, MA 01230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2013 |
| Last Update Date | 14/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.