Active NPI
Wesley Willeford, M. D.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1164782504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.37563
- Practice address
- 1400 6TH Ave S BSMT Level
Birmingham, AL 35233-1502 - Phone
- (205) 930-5570
- NPI assigned
- May 19, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2014-02266 | NC | |
| Hospitalist Physician | 208M00000X | 2014-02266 | NC | |
| Internal Medicine Physician | 207R00000X | MD.37563 | AL | Primary |
Addresses
Primary practice location
1400 6TH Ave S BSMT Level
Birmingham, AL 35233-1502
Mailing address
PO Box 2648
Birmingham, AL 35202-2648
Phone (205) 930-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 6TH Ave S
Birmingham, AL 35233-1502
Phone (205) 933-9110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.37563 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Board of Health | Current | Accepting new patients | |
| Jefferson County Board of Health | Current | Accepting new patients | |
| Jefferson County Board of Health | Current | Accepting new patients | |
| Jefferson County Board of Health | Current | Accepting new patients |
Locations
1400 6th Ave S
Bsmt
Birmingham, AL 35233
Phone (205) 930-5570
1400 6th Ave S
Birmingham, AL 35233
Phone (205) 933-9110
Interoperability endpoints
- wesley.willeford.1@17358.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Birmingham, AL
- NPI 1336167196
-
- Public Health or Welfare Agency
- Birmingham, AL
- NPI 1447285390
-
- Public Health or Welfare Agency
- Birmingham, AL
- NPI 1457365132
-
- Public Health or Welfare Agency
- Midfield, AL
- NPI 1942235825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1164782504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2648",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352022648",
"telephone_number": "205-930-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 6TH AVE S BSMT LEVEL",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331502",
"telephone_number": "205-930-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEFORD",
"first_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-19",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2014-02266",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2014-02266",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.37563",
"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 May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.