Wilbur Glen Wells Jr., MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

8827 Issued in AL

Practice address

3485 Independence Dr
Birmingham, AL 35209-5603

Phone

(205) 930-0920

Fax

(205) 445-0115

NPI assigned

Apr 24, 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 5

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

Specialty

Urology

Education

Louisiana State University School of Medicine in New Orleans, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kolbe Clinic LLCGroup PAC ID 4183925910, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01C0
• bcbs alabama network 01B0
• bcbs alabama network 01H0
• bcbs alabama network 01I0
• bcbs alabama network 01G0
• bcbs alabama network 01E0

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.

• Kolbe Clinic LLC

  • Psychiatry Physician
  • Chelsea, AL
  • NPI 1841675865

  Addiction Medicine

  Medicare reassignment Care Compare group NPD
• Russell Hospital Corporation

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1417252537
  Medicare reassignment NPD
• Russell Hospital Corporation

  • Rural Health Clinic/Center
  • New Site, AL
  • NPI 1700419868
  NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1861458366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "WILBUR",
        "middle_name": "GLEN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "8827",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": "8827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "511-41460",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES PTAN",
            "identifier": "0366100001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "511-41459",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153689",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153913",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Wells
• James Charles Jerome Wells, ED.S,NCC,LPC-S,CSAT
• Thandi Kenyetta Wells, ED.S, LPC
• Traci Wells, APRN
• Valencia Robertson Wells, O.D.
• Wellspot Medical Clinics
• Wellspot, Inc
• Wellspring Wellness LLC
• Andrea Welsh, MSN, CRNP, PMHNP-BC
• Donald Wills Welsh, MD

• Addiction Medicine (Family Medicine) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Addiction Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.