Organization Active NPI

West Alabama Internal Medicine, LLC

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1881761013
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST ALABAMA INTERNAL MEDICINE, LLC
Practice address
701 University Blvd E
Suite 810
Tuscaloosa, AL 35401-2086
Phone
(205) 366-0009
Fax
(205) 366-0097
NPI assigned
Nov 30, 2006
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. William Keith Debell Sr., M.D.
Title
Physician Part Owner
Phone
(205) 366-0009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU

Addresses

Primary practice location

701 University Blvd E
Suite 810
Tuscaloosa, AL 35401-2086

Mailing address

701 University Blvd E
Suite 810
Tuscaloosa, AL 35401-2086
Phone (205) 366-0009

Other identifiers 2

IdentifierTypeStateIssuer
DC8873OtherALMEDICARE RAILROAD
529923040MedicaidAL

National Provider Directory

National Provider Directory

Locations

701 University Blvd E
Ste 810
Tuscaloosa, AL 35401
Phone (205) 343-8070

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6ae415b4-ecb2-449e-8c4e-c5f9a5303c05/

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1881761013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 810",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-366-0009",
            "fax_number": "205-366-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 810",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-366-0009",
            "fax_number": "205-366-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "DEBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICIAN PART OWNER",
        "authorized_official_telephone_number": "205-366-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC8873",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529923040",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.