Individual provider Active NPI

William Alan Cook, MD

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1689746638
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7419 Issued in AL
Practice address
450 A Century Park South
Suite 200
Birmingham, AL 35226
Phone
(205) 979-8030
Fax
(205) 979-8031
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7419 AL Primary

Addresses

Primary practice location

450 A Century Park South
Suite 200
Birmingham, AL 35226

Mailing address

450 A Century Park South
Suite 200
Birmingham, AL 35226
Phone (205) 979-8030

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
I20111201000698 AL Practitioner - Dermatology 2860667854 Practice locations: Hoover, AL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7419ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True Dermatology, LLC Dermatology CurrentSince Feb 1, 2020 Accepting new patients
Aqua Dermatology of Alabama PC Dermatology PastSince Dec 1, 2024 Accepting new patients

Locations

615 1st St N
Alabaster, AL 35007
Phone (205) 624-2100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689746638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 A CENTURY PARK SOUTH",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35226",
            "telephone_number": "205-979-8030",
            "fax_number": "205-979-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 A CENTURY PARK SOUTH",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35226",
            "telephone_number": "205-979-8030",
            "fax_number": "205-979-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "WILLIAM",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "7419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.