Active NPI
William Mark Holbrook, M.D.
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1073613634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20148
- Practice address
- 200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102 - Phone
- (205) 715-5943
- Fax
- (205) 715-5928
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20148 | AL | Primary |
Addresses
Primary practice location
200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
Mailing address
320 Coosa St E
Talladega, AL 35160-2276
Phone (256) 362-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20148 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073613634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 COOSA ST E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602276",
"telephone_number": "256-362-3636",
"fax_number": "256-362-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BEACON PKWY W",
"address_2": "SUITE 330",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093102",
"telephone_number": "205-715-5943",
"fax_number": "205-715-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "WILLIAM",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "20148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.