Provider Demographics
NPI:1649913039
Name:COLLINS, WILLIAM BRYANT (BC HIS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BRYANT
Last Name:COLLINS
Suffix:
Gender:M
Credentials:BC HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 ONEAL ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-4933
Mailing Address - Country:US
Mailing Address - Phone:336-228-7879
Mailing Address - Fax:
Practice Address - Street 1:133 ONEAL ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-4933
Practice Address - Country:US
Practice Address - Phone:336-228-7879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC834237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist