Wilbourne R Crouch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N05434 Issued in AL

Practice address

301 Pine St NW
Suite B
Hartselle, AL 35640-2338

Phone

(256) 773-5429

Fax

(256) 773-4888

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr Wilbourne R Crouch, M.D.

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1538229604
  NPD (past) Authorized official

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1255326229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PINE ST NW",
            "address_2": "SUITE B",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402338",
            "telephone_number": "256-773-5429",
            "fax_number": "256-773-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PINE ST NW",
            "address_2": "SUITE B",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402338",
            "telephone_number": "256-773-5429",
            "fax_number": "256-773-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "WILBOURNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "N05434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Compton, RDN
• Susan Kathleen Copley, MD
• Cottages Hartselle, LLC
• County EMS LLC
• Crossroads Medical Group, LLC
• James Donald Culberson, D.C.
• Cullman Regional Medical Center, Inc
• Davidb. Sittason DMD,PC
• Decatur General Hospital
• Decatur General Hospital

• Family Medicine Physician in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.

Verify at the official NPI Registry.