Active NPI
Willie Williams Jr., M.D.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1194788729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11325
- Practice address
- 832 Princeton Ave SW
Birmingham, AL 35211-1320 - Phone
- (205) 788-6688
- Fax
- (205) 788-0305
- NPI assigned
- Apr 6, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11325 | AL | Primary |
Addresses
Primary practice location
832 Princeton Ave SW
Birmingham, AL 35211-1320
Mailing address
PO Box 12366
Birmingham, AL 35202-2366
Phone (205) 788-6688
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C23574 | Other | AL | VIVA INSURANCE |
| 009976125 | Medicaid | AL | |
| 009976135 | Medicaid | AL | |
| 110209683 | Other | AL | RR MEDICARE |
| 512-20081 | Other | AL | BCBS AL |
| C23574 | Other | AL | HEALTHSPRING OF ALABAMA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11325 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Internal Medicine Associates, LLC | Internal Medicine | Current | Accepting new patients |
Locations
832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231
7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060
Interoperability endpoints
- wwilliams4159@baptisthealthaldirect.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598796542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1194788729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12366",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352022366",
"telephone_number": "205-788-6688",
"fax_number": "205-788-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111320",
"telephone_number": "205-788-6688",
"fax_number": "205-788-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WILLIE",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "11325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA INSURANCE",
"identifier": "C23574",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009976125",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009976135",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110209683",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "512-20081",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING OF ALABAMA",
"identifier": "C23574",
"state": "AL"
}
],
"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 Mar 4, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.