Organization Active NPI

William B. Wilkinson, MD PC

  • Specialist
  • Russellville, AL
National Provider Identifier
1245296060
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20102 Issued in AL
Legal business name
WILLIAM B. WILKINSON, MD PC
Practice address
523 Gandy St NE
Suite E
Russellville, AL 35653-1961
Phone
(256) 331-3339
Fax
(256) 331-3342
NPI assigned
Apr 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William B. Wilkinson, MD
Title
Ceo/Physician
Phone
(256) 331-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20102 AL Primary

Addresses

Primary practice location

523 Gandy St NE
Suite E
Russellville, AL 35653-1961

Mailing address

PO Box 1203
Russellville, AL 35653-1203
Phone (256) 331-3339

Other identifiers 1

IdentifierTypeStateIssuer
3723179MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245296060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1203",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531203",
            "telephone_number": "256-331-3339",
            "fax_number": "256-331-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 GANDY ST NE",
            "address_2": "SUITE E",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531961",
            "telephone_number": "256-331-3339",
            "fax_number": "256-331-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B. WILKINSON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "256-331-3339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "20102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723179",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.