NPIMap

Individual provider Active NPI

William Eugene Alldredge, M.D.

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1801904636
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12074 Issued in AL
Practice address
100 Rice Mine Rd N
Suite B
Tuscaloosa, AL 35406-2300
Phone
(205) 349-4200
Fax
(205) 349-4285
NPI assigned
Aug 29, 2006
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12074 AL Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 12074 AL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 12074 AL

Addresses

Primary practice location

100 Rice Mine Rd N
Suite B
Tuscaloosa, AL 35406-2300

Mailing address

100 Rice Mine Rd N
Suite B
Tuscaloosa, AL 35406-2300
Phone (205) 349-4200

Other identifiers 2

IdentifierTypeStateIssuer
528502230MedicaidAL
51018436OtherALBLUE CROSS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000130 AL Practitioner - Internal MedicinePractitioner - Addiction Medicine 0042239923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
University of South Alabama College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Tuscaloosa, PCGroup PAC ID 6800813957, 9 clinicians

Practice addresses (Care Compare)

100 Rice Mine Rd N
Suite 100
Tuscaloosa, AL 35406-3905
Phone (205) 349-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12074ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Nov 25, 1996 Accepting new patients
Internal Medicine Associates of Tuscaloosa, P.C. CurrentSince Mar 27, 2022 Accepting new patients
The DCH Healthcare Authority CurrentSince Nov 25, 1996 Accepting new patients
Heritage Health Care & Rehab, Inc. Past Accepting new patients
Park Manor Health and Rehabilitation, LLC Past Accepting new patients

Locations

100 Rice Mine Rd N
Ste 100
Tuscaloosa, AL 35406
Phone (205) 349-4200

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: admin@internalmedicinetusc.e-mdsdirect.com

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1801904636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062300",
            "telephone_number": "205-349-4200",
            "fax_number": "205-349-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062300",
            "telephone_number": "205-349-4200",
            "fax_number": "205-349-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLDREDGE",
        "first_name": "WILLIAM",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "12074",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AL",
            "license": "12074",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "12074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528502230",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBER",
            "identifier": "51018436",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.