W David Spruill M D P C

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3914 Issued in AL

Legal business name

W DAVID SPRUILL M D P C

Practice address

52 Medical Park Dr E
Suite 320
Birmingham, AL 35235-3430

Phone

(205) 838-3066

Fax

(205) 838-3704

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Louise G Kelly

Title

Office Administrator

Phone

(205) 838-3066

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275622870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "SUITE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3066",
            "fax_number": "205-838-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "SUITE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3066",
            "fax_number": "205-838-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W DAVID SPRUILL M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "205-838-3066"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1881605343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ha Vu
• My Hanh Vu
• Rudy Vuchinich, PH.D.
• Vulcan Performance Inverness, LLC
• Nayana Vuppala
• Theresa M. Wadas, CRNP
• Kristen C Waddell, CRNP
• Rachel Waddell
• Stewart D. Waddell, M.D.
• Caroline Wade

• Medical Specialty Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Medical Specialty Clinic/Center in Alabama

• 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.