Wickliffe J Many Jr., M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

00006677 Issued in AL

Practice address

2055 E South Blvd
Suite 202
Montgomery, AL 36116

Phone

(334) 284-5211

Fax

(334) 284-9020

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Locations

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.

• University of Alabama at Birmingham

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478

  Infectious Disease

  NPD
• Montgomery Baptist Outreach Services Corporation

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1770534901
  NPD (past)
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1346200516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MCGEHEE RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112151",
            "telephone_number": "334-280-3349",
            "fax_number": "334-356-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-284-5211",
            "fax_number": "334-284-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANY",
        "first_name": "WICKLIFFE",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "00006677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014514",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051014514",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE MEDICARE",
            "identifier": "636005396005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Mann, CRNP
• Susan Harrell Mann, RDN, LD, CDE
• Derrick C Manora, LPC
• Eduardo Mantovani Cardoso, MD
• Yumauri Manuel
• Margaret A March-Phillips, DDS
• Marguerite J. Barber-Owens
• Marilyn Sledge Jackson/Safe Harbor
• Marimat Language Solutions LLC
• Mark D. Herron, M.D. L.L.C.

• Infectious Disease Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Infectious Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.