Organization Active NPI

Alabama Urology Associates, P.C.

  • Specialist
  • Birmingham, AL
National Provider Identifier
1346205341
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00008827 Issued in AL
Legal business name
ALABAMA UROLOGY ASSOCIATES, P.C.
Practice address
2022 Brookwood Medical Ctr Dr
Suite 305
Birmingham, AL 35209-6808
Phone
(205) 877-2860
Fax
(205) 877-2733
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Wilbur Glen Wells Jr., M.D
Title
President
Phone
(205) 877-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00008827 AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Ctr Dr
Suite 305
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Acc - Suite 305
Birmingham, AL 35209-6808
Phone (205) 877-2860

Other identifiers 2

IdentifierTypeStateIssuer
000024112MedicaidAL
000004393MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1346205341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "ACC - SUITE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-877-2860",
            "fax_number": "205-877-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-877-2860",
            "fax_number": "205-877-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA UROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-877-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00008827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000024112",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004393",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.