Individual provider Active NPI

Willie Williams Jr., M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1194788729
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11325 Issued in AL
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

Updated by the provider on Mar 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C23574OtherALVIVA INSURANCE
009976125MedicaidAL
009976135MedicaidAL
110209683OtherALRR MEDICARE
512-20081OtherALBCBS AL
C23574OtherALHEALTHSPRING 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000509 AL Practitioner - Internal Medicine 4587638911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11325ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Internal Medicine CurrentSince Jan 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.