Individual provider Active NPI

Donald Bryant Williams, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Jasper, AL
National Provider Identifier
1952365587
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
7014 Issued in AL
Practice address
1810 3Rd Ave S Ste 101
Jasper, AL 35501-5399
Phone
(205) 775-0300
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7014 AL
General Practice Physician 208D00000X 7014 AL
Addiction Medicine (Family Medicine) Physician 207QA0401X 7014 AL Primary

Addresses

Primary practice location

1810 3Rd Ave S Ste 101
Jasper, AL 35501-5399

Mailing address

2090 Columbiana Rd
Suite 4400
Birmingham, AL 35216-2153
Phone (205) 824-8000

Other practice location 1

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1990

Other identifiers 1

IdentifierTypeStateIssuer
51046855OtherALBLUE CROSS/BLUE SHIELD

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
I20040629001340 AL Practitioner - Family PracticePractitioner - Diagnostic RadiologyPractitioner - Addiction Medicine 3375529209 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7014ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kolbe Clinic LLC Addiction Medicine CurrentSince Apr 9, 2019 Accepting new patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC Past Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology Past Accepting new patients
Brookwood Diagnostic Imaging Center, LLC Past Accepting new patients

Locations

109 Foothills Pkwy
Ste A
Chelsea, AL 35043
Phone (205) 775-0300

109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

1810 3rd Ave S
Ste 101
Jasper, AL 35501
Phone (205) 512-1015

Networks

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1952365587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 COLUMBIANA RD",
            "address_2": "SUITE 4400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162153",
            "telephone_number": "205-824-8000",
            "fax_number": "205-824-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 3RD AVE S STE 101",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015399",
            "telephone_number": "205-775-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brookwood Medical Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096804",
            "country_code": "US",
            "telephone_number": "205-877-1990",
            "fax_number": "205-824-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DONALD",
        "middle_name": "BRYANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "7014",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "7014",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": "7014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51046855",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.