William R Welborn Jr., M. D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

6193 Issued in AL

Practice address

211 N Atlanta Ave
Sheffield, AL 35660-3003

Phone

(256) 381-1465

Fax

(256) 386-0352

NPI assigned

Nov 6, 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

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

Specialty

Dermatology

Education

Vanderbilt University School of Medicine, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01B0
• bcbs alabama network 01A0
• bcbs alabama network 01G0
• bcbs alabama network 01E0

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346329505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "address_2": "211 NORTH ATLANTA AVENUE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356600549",
            "telephone_number": "256-381-1465",
            "fax_number": "256-386-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N ATLANTA AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356603003",
            "telephone_number": "256-381-1465",
            "fax_number": "256-386-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Radiological Associates, P.C.
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• Robin Vanhorn, MS, OTR/L
• Walgreen Co (Walgreens #19289)
• Kevin Michael Walls, M.D.
• Connie Sherril White, CRNP
• Jerry Brent Williams, M.D.
• Dwight Wilson, LPC
• Melissa Ann Wilson, CRNP, FNP-C
• Randall J Wilson, CRNA

• Dermatology Physician in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.