William B Nickell, M,D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

3370 Issued in AL

Practice address

500 Cahaba Park Cir
Birmingham, AL 35242-5087

Phone

(295) 980-9393

Fax

(205) 980-4494

NPI assigned

Dec 27, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 11, 2016 through Apr 11, 2028

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.

• Medical Spa Moksha, L.L.C.

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1912231895
  NPD (past) Authorized official
• American Health Research Institute, Inc.

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1063863157
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1306901517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 DUNBARTON DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232739",
            "telephone_number": "205-967-3843",
            "fax_number": "205-298-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAHABA PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425087",
            "telephone_number": "295-980-9393",
            "fax_number": "205-980-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "3370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nichols
• Jeffrey K Nicholson, MD
• Niesha Nicholson
• William Nicholson, MSN, CRNP
• Robert John Nicke, M.D., J.D., M.B.A.
• Keegan John Nicodemus, MD
• Yostina Marie Nicola, DMD
• Nicolas Brown, DMD General Dentistry, LLC
• John Victor Nicolini, MSW
• Krista Niedermeier

• Plastic Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.