William K McKibbin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35433 Issued in AL

Practice address

305 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2055

Phone

(205) 345-0192

Fax

(205) 464-4507

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1629025838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2447",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032447",
            "telephone_number": "205-345-0192",
            "fax_number": "205-464-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PAUL W BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012055",
            "telephone_number": "205-345-0192",
            "fax_number": "205-464-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBIN",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "35433",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AL",
            "license": "35433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891130W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1130W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley McIntire, PHARMD
• Alissa Carolina McIntyre, MA
• Brian Gordon McKaig, CRNA
• Gwenn Marie McKenzie, MD
• Rick L McKenzie, MD
• Jeremy R. McKinney, D.M.D., M.D.S.
• Robert Earl McKinney, L.C.S.W.
• John Marvin McKissick, KINESIOTHERAPIST
• Jerry McKnight, M.D.
• Ray Harvey McLaughlin Jr., M.D.

• Orthopaedic Surgery Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.