Individual provider Active NPI

Bill F Vermillion, MD

  • Emergency Medicine Physician
  • Florence, AL
National Provider Identifier
1912902891
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11266 Issued in AL
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(866) 313-5265
Fax
(205) 313-5298
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11266 AL Primary

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 786
Birmingham, AL 35201-0786
Phone (866) 313-5265

Other identifiers 2

IdentifierTypeStateIssuer
51055213OtherALSHO BCBSAL
51087492OtherALCHG BCBSAL

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
I20080602000167 AL Practitioner - Emergency Medicine 6002986197 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11266ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Aug 16, 2017 Accepting new patients
Northwest Emergency Physician Group Emergency Medicine CurrentSince Jul 9, 2012 Accepting new patients
North Alabama Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1912902891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352010786",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "BILL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "11266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHO BCBSAL",
            "identifier": "51055213",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHG BCBSAL",
            "identifier": "51087492",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.