William Edward Beasley Jr., MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Athens, AL
NPI 1891765863 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891765863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 7495 (AL)
- Practice address
- 1005 W Market St
Suite 7
Athens, AL 35611-2454 - Phone
- (256) 233-1613
- Fax
- (256) 233-2391
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7495 | AL | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 7495 | AL | Yes |
Addresses
Primary practice location
1005 W Market St
Suite 7
Athens, AL 35611-2454
Mailing address
1005 W Market St
Suite 7
Athens, AL 35611-2454
Phone (256) 233-1613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51001935 | Other | AL | BLUE CROSS |
Other providers in Athens, AL
- Denise Sherie Bates
- Evangeleine Helene Bates
- Eduardo Javier Bazan Lavanda
- BCL Foundation, Inc
- Robert Brad Beasley
- Bechert, LLC Dba Lang Chiropractic Center
- Lauren Taylor Beggs
- Belinda Maples M.D., P.C.
- Benchmark Physical Therapy of Alabama, LLC
- Best Health, LLC
All providers in Athens, AL · Obstetrics & Gynecology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.