Individual provider Active NPI

William Charles Braswell III, M.D.

  • Surgery Physician
  • Alabaster, AL
National Provider Identifier
1487725222
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00021111 Issued in AL
Practice address
644 2ND St NE
Suite 206
Alabaster, AL 35007-8823
Phone
(205) 620-9065
Fax
(205) 620-9051
NPI assigned
Nov 13, 2006
Last updated
Nov 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00021111 AL Primary

Addresses

Primary practice location

644 2ND St NE
Suite 206
Alabaster, AL 35007-8823

Mailing address

644 2ND St NE
Suite 206
Alabaster, AL 35007-8823
Phone (205) 620-9065

Other identifiers 1

IdentifierTypeStateIssuer
118578MedicaidAL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100825000783 AL Practitioner - General Surgery 2365478153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Valley Surgical Group, PCGroup PAC ID 2961304340, 3 clinicians

Practice addresses (Care Compare)

644 2ND St NE
Nest206
Alabaster, AL 35007-8824
Phone (205) 620-9065

644 2ND St NE
Suite 206
Alabaster, AL 35007-8823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
63.88
Improvement activities
40
Cost
91.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21111ALMDPharmacist
00021111ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Valley Surgical Group, PC Surgery CurrentSince Jun 1, 2010 Accepting new patients
Surgery South LLC Surgery Past Accepting new patients

Locations

644 2nd St NE
Ste 206
Alabaster, AL 35007
Phone (205) 620-3329

Interoperability endpoints

  • Direct secure messaging: cbraswell@cvsg.gwaydirect.com
  • Direct secure messaging: williambraswell@cvsgrppc.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1487725222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE",
            "address_2": "SUITE 206",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078823",
            "telephone_number": "205-620-9065",
            "fax_number": "205-620-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE",
            "address_2": "SUITE 206",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078823",
            "telephone_number": "205-620-9065",
            "fax_number": "205-620-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00021111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118578",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.