Individual provider Active NPI

William B Harris, MD

  • Surgery Physician
  • Bay Minette, AL
National Provider Identifier
1710972906
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.9132 Issued in AL
Practice address
2305 Hand Ave
Bay Minette, AL 36507-4191
Phone
(251) 368-9826
Fax
(251) 368-3917
NPI assigned
Sep 14, 2005
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.9132 AL
Family Medicine Physician 207Q00000X MD9132 AL
Surgery Physician 208600000X MD.9132 AL Primary
Surgery Physician 208600000X 9132 AL
Surgical Oncology Physician 2086X0206X MD.9132 AL

Addresses

Primary practice location

2305 Hand Ave
Bay Minette, AL 36507-4191

Mailing address

PO Box 30195
Pensacola, FL 32503-1195
Phone (251) 368-9826

Other practice location 1

406 Medical Park Dr
Atmore, AL 36502-3016
Phone (251) 368-6245

Other identifiers 4

IdentifierTypeStateIssuer
3610053OtherALUNITED HEALTHCARE
529301280MedicaidAL
010024215OtherALRAILROAD MEDICARE
51080702OtherALBCBS

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
I20051021000459 AL Practitioner - General SurgeryPractitioner - Surgical OncologyPractitioner - Gynecological Oncology 0345220570 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Gynecological Oncology, Surgical Oncology
Education
University of South Alabama College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escambia County Alabama Community Hospitals, IncGroup PAC ID 4385616119, shared by 6 NPIs, 11 clinicians

Practice addresses (Care Compare)

5850 Hwy 21
Atmore, AL 36502-6333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.9132ALMDEmergency Medicine Physician
MD9132ALMDFamily Medicine Physician
9132ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia County Alabama Community Hospitals, Inc CurrentSince Aug 29, 2022 Accepting new patients
WH Services Brewton LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Dec 28, 2012 Accepting new patients
Escambia County Alabama Community Hospitals, Inc. Family Medicine CurrentSince Jan 4, 2022 Accepting new patients
Escambia County Alabama Community Hospitals, Inc. Family Medicine CurrentSince Jan 4, 2022 Accepting new patients
The Orthopaedic Group, P.C. Past Accepting new patients
Mobile Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

402 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-7974

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

5850 Highway 21
Atmore, AL 36502
Phone (251) 368-6245

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

Organizations & group practices 10

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1710972906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30195",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031195",
            "telephone_number": "251-368-9826",
            "fax_number": "251-368-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074191",
            "telephone_number": "251-368-9826",
            "fax_number": "251-368-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Atmore",
            "state": "AL",
            "postal_code": "365023016",
            "country_code": "US",
            "telephone_number": "251-368-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.9132",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD9132",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.9132",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "9132",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AL",
            "license": "MD.9132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3610053",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529301280",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010024215",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51080702",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.