Active NPI
William Bradford Fancher
- Allergy Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- MD.42090
- Practice address
- 504 Brookwood Blvd
Birmingham, AL 35209-6802 - Phone
- (205) 871-9661
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | MD.42090 | AL | Primary |
Addresses
Primary practice location
504 Brookwood Blvd
Birmingham, AL 35209-6802
Mailing address
2500 Legacy Dr Ste 100
Frisco, TX 75034-5984
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251124003016 | AL | Practitioner - Allergy/Immunology | 9638661903 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Tulane University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allervie Health, Professional Corporation
Practice addresses (Care Compare)
2100 Data Park
Suite 200
Hoover, AL 35244-1235
Phone (205) 209-4115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.42090 | AL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allervie Health Professional Corporation | Current | Accepting new patients | |
| Premier Allergist of Florida LLC | Past | Accepting new patients | |
| Alabama Asthma & Allergy, PC | Past | Accepting new patients |
Locations
2108 AL Highway 157
Cullman, AL 35058
Phone (256) 737-7339
2826 Ross Clark Cir
Ste 304
Dothan, AL 36301
Phone (334) 794-2718
805 E Lee St
Ste B
Enterprise, AL 36330
Phone (334) 347-3507
504 Brookwood Blvd
Homewood, AL 35209
Phone (205) 209-4121
2100 Data Park
Ste 200
Hoover, AL 35244
Phone (205) 209-4115
641 Snow St
Oxford, AL 36203
Phone (256) 273-4963
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Birmingham, AL
- NPI 1780629535
AL
-
- Allergy & Immunology Physician
- Dothan, AL
- NPI 1023170461
-
- Allergy & Immunology Physician
- Birmingham, AL
- NPI 1386596245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1578026100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 LEGACY DR STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750345984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 BROOKWOOD BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096802",
"telephone_number": "205-871-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANCHER",
"first_name": "WILLIAM",
"middle_name": "BRADFORD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "AL",
"license": "MD.42090",
"primary": true
}
],
"identifiers": [],
"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 Nov 14, 2025; 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.