BRADLEY WILLIAMS (DO) – Emergency Medicine Physician, NPI 1023512464

BRADLEY WILLIAMS (DO) is a healthcare provider. based in Mccomb, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 27420 (MS). The NPI Number for BRADLEY WILLIAMS (DO) is 1023512464

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY WILLIAMS (DO)
NPI
1023512464
Phone
(601) 248-0828
Address
1155 CASTON RD
Enumeration Date
21 March 2018
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6012862090
Graduation Year
2018 (8 years ago)
PAC ID
3678821790
Group Practice PAC ID
6507220167
Professional Enrollment ID
I20210818002499
Address ID
MS394021308HA5001XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

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Provider Addresses for BRADLEY WILLIAMS (DO)

  • 1155, Caston Road, McComb, Pike County, Mississippi, 39648, United States

    MCCOMB, MS 396488760

    Phone: (601) 248-0828

    Type: Mailing

  • 5 RIDGESIDE

    HATTIESBURG, MS 394027880

    Phone: (601) 248-0828

    Type: Mailing

  • Merit Health Wesley, 5001, Hardy Street, Hattiesburg, Lamar County, Mississippi, 39402, United States

    HATTIESBURG, MS 394021308

    Phone: (601) 296-3963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210818002499IEmergency MedicineMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making358337$0
99284Emergency department visit with moderate level of medical decision making192181$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9490$0
99283Emergency department visit with low level of medical decision making5957$0
99291Critical care, first 30-74 minutes4644$0
View full utilization report →

Insurance plans in this area (ZIP 39648)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507220167View full group profile
NameSpecialtyState
Internal Medicine, Geriatric MedicineMS
Emergency MedicineLA
Internal MedicineMS
Emergency MedicineOH
Physician AssistantGA
Emergency MedicineLA
Internal MedicineNV
Internal MedicineNV
Hospitalist, Internal Medicine, Hospitalist, Internal MedicineNY
Emergency MedicineVA

Reviews

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Frequently asked questions

What unique ID ties claims to BRADLEY WILLIAMS (DO)?
NPI 1023512464 is assigned to BRADLEY WILLIAMS (DO) under the national enumeration system.
Does this profile mean BRADLEY WILLIAMS (DO) is currently active?
Yes — BRADLEY WILLIAMS (DO) appears active in the national provider directory.
Does BRADLEY WILLIAMS (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for BRADLEY WILLIAMS (DO). Clinical services aligned with this taxonomy classification.
Where is BRADLEY WILLIAMS (DO)'s primary listing?
We display Mccomb, Mississippi because that is what the record indicates for BRADLEY WILLIAMS (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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