Individual provider Active NPI

William Bradford Fancher

  • Allergy Physician
  • Birmingham, AL
National Provider Identifier
1578026100
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD.42090 Issued in AL
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

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 15 clinicians

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

LicenseStateTypeSpecialty
MD.42090ALMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allervie Health Professional Corporation CurrentSince Dec 1, 2025 Accepting new patients
Premier Allergist of Florida LLC PastSince Nov 18, 2025 Accepting new patients
Alabama Asthma & Allergy, PC PastSince Mar 30, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.