Individual provider Active NPI

William Scott Pennington Jr., MD

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1225014335
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8046 Issued in AL
Practice address
3686 Grandview Pkwy Ste 400
Birmingham, AL 35243-3404
Phone
(205) 595-8985
Fax
(205) 595-8987
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 8046 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 400
Birmingham, AL 35243-3404

Mailing address

3686 Grandview Pkwy Ste 400
Birmingham, AL 35243-3404
Phone (205) 595-8985

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
I20050321000733 AL Practitioner - General Surgery 1153374178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Varicosity LLCGroup PAC ID 3678541596, 19 clinicians

Practice addresses (Care Compare)

1950 Berryhill Rd
Montgomery, AL 36117-7789
Phone 2055921800209

Hospital & facility affiliations

  • Midwest Orthopedic Specialty Hospital Hospital, Franklin, WI, CCN 520205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8046ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Varicosity LLC CurrentSince Dec 1, 2021 Accepting new patients
Baptist Health System, Inc. PastSince Apr 1, 1996 Accepting new patients

Locations

1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989

1935 E Glenn Ave
Ste 200
Auburn, AL 36830

1935 E Glenn Ave
Ste 202
Auburn, AL 36830

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01I0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1225014335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-595-8985",
            "fax_number": "205-595-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-595-8985",
            "fax_number": "205-595-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "8046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.