Healthcare Provider Details

I. General information

NPI: 1184534968
Provider Name (Legal Business Name): BRIAN D WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10296 MCCLAIN DR
BROWNSBURG IN
46112-7352
US

IV. Provider business mailing address

10296 MCCLAIN DR
BROWNSBURG IN
46112-7352
US

V. Phone/Fax

Practice location:
  • Phone: 463-265-3941
  • Fax:
Mailing address:
  • Phone: 463-265-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number260206341
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: