Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Roller Williams, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790162220

Benjamin Roller Williams, MD is an Orthopedic Surgery in Bloomington, Minnesota. Graduated from University of Michigan Medical School in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Trained at
University of Michigan Medical School
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (952) 831-8742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14050 Fairview Dr, Burnsville, MN 55337-4571 — (952) 831-8742
  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 273-8043

Specialties & licences

Orthopaedic Foot and Ankle Surgery Physician (primary) Taxonomy 207XX0004X · Licence 70164 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790162220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2015
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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