WILLIAM BRYAN JENNINGS (NPI# 1306849047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306849047 |
| Entity Type | Individual |
| Full Name | WILLIAM BRYAN JENNINGS |
| Credential | DO |
| Practice Address |
170 Kimel Park Dr Winston Salem NC 27103 |
| Mailing Address |
4601 Park Rd Ste 250 Charlotte NC 28209-2373 |
| Practice Telephone | 3367681270 |
| Practice Fax Number | 3367656375 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 200400218 | NC | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
200400218 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE DME | 0223770001 | 01 |
| NC | 89136WG | 05 | |
| NC | 1306849047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1992935266 | William T Jennings | Family Medicine | 826 Clayton Ave, Tupelo, MS 38804-1918 | 2009-07-21 |
| 1871781484 | William Stanley Jennings | Psychologist | 73 Highland St, Dunstable, MA 01827-1320 | 2007-10-09 |
| 1902829070 | William Robert Jennings | Dentist | 209 W 8th St, Tyler, TX 75701-4102 | 2006-07-26 |
| 1245280908 | William Wesley Jennings IIi | Obstetrics & Gynecology | 1050 W Galleria Dr, Henderson, NV 89011-4800 | 2006-05-11 |
| 1508825035 | William Russell Jennings Jr. | Emergency Medicine | 5 Medical Park Drive, Ste 350 Palmetto Health Richland Dept of Emergency Med, Columbia, SC 29203 | 2006-03-22 |
| 1851651822 | William R Jennings | Physical Therapist | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2012-05-23 |
| 1790012276 | William Patrick Jennings | Internal Medicine | 8122 Datapoint Dr, Suite 1010, San Antonio, TX 78229-3272 | 2009-11-04 |
| 1134353071 | William Jerald Jennings | Dentist | 1401 Sparta St, Mc Minnville, TN 37110-1301 | 2009-05-06 |
| 1902073299 | William B Jennings | Specialist/Technologist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2008-05-15 |
| Street Address |
170 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388868 | Michael Anthony Walters Jr. | Specialist/Technologist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-08-28 |
| 1548884992 | Ryan Dula | Occupational Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-06-02 |
| 1154957983 | Jennifer Baity Hill | Physical Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-03-12 |
| 1053879502 | Dylan Thomas Plocki | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-03-04 |
| 1669939526 | Katherine A Tully | Physical Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-02-27 |
| 1073007373 | Ann Steber | Occupational Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-06-20 |
| 1336633106 | Mark Stephen Phillips | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-06-15 |
| 1730676081 | Michael Edward Arcuri | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-04-21 |
| 1205341419 | Katlyn Marie Joyner | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2017-12-11 |
| 1366996621 | Todd Louis Carrigan | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831500354 | Novant Medical Group, Inc | Orthopaedic Surgery | Robinhood Medical Plaza Bldg 200, Winston Salem, NC 27106 | 2014-05-19 |
| 1124464227 | Tyler Snoap | Orthopaedic Surgery | Medical Center Blvd Medical Center Blvd, Winston Salem, NC 27157-1282 | 2013-05-15 |
| 1225264948 | Jordan Miller Case | Orthopaedic Surgery | Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-8668 | 2009-06-09 |
| 1548435977 | Benjamin Graves | Orthopaedic Surgery | Medical Center Blvd, Department of Orthopaedic Surgery Box 1070, Winston Salem, NC 27157 | 2008-04-27 |
| 1609832971 | Kenneth Guy Tomberlin | Orthopaedic Surgery | 3817 Forrestgate Dr, Winston Salem, NC 27103-2930 | 2006-04-25 |
| 1396705679 | James Frank Bethea | Orthopaedic Surgery | 200 Robinhood Medical Plz, Winston Salem, NC 27106 | 2006-03-23 |
| 1538138797 | Jennings Orthopaedic Associates, P.a. | Orthopaedic Surgery | 1345 Westgate Center Drive, Suite B, Winston Salem, NC 27103-3041 | 2006-03-17 |
| 1396729265 | William Goode Ward | Orthopaedic Surgery | Robinhood Medical Plaza, Bldg 200, Winston Salem, NC 27106-5475 | 2005-12-02 |
| 1861495806 | Jerome Edwin Jennings | Orthopaedic Surgery | 1345 Westgate Center Dr, Suite B, Winston Salem, NC 27103-3040 | 2005-05-23 |
| 1194102657 | Kevin Michael Sagers | Orthopaedic Surgery | 1 Medical Center Blvd, Winston Salem, NC 27157-4194 | 2015-05-04 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.