Individual provider Active NPI

William E Hubbard Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Prattville, AL
National Provider Identifier
1962545442
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1069817 Issued in AL
Practice address
124 S Memorial Dr
Prattville, AL 36067-3619
Phone
(334) 365-0651
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1069817 AL Primary

Addresses

Primary practice location

124 S Memorial Dr
Prattville, AL 36067-3619

Mailing address

PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091002000558 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486611415 Reassigns benefits to 1 organization
I20100909000075 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486611415 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3839

2410 Montgomery Dr SW
Wilson, NC 27893-4421
Phone (252) 674-1851

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1069817ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2020 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Nov 8, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Dec 9, 2020 Accepting new patients
Prolific Anesthesia Services, PLLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Scotland Memorial Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Birmingham, P.C. Anesthesiology Past Accepting new patients
Anesthesia Solutions of Anniston Anesthesiology Past Accepting new patients
Premier Anesthesia of Montgomery PC Anesthesiology Past Accepting new patients
Anesthesia Group East PC Anesthesiology Past Accepting new patients
Anesthesia Group East PC Anesthesiology Past Accepting new patients

Locations

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1962545442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-386-2055",
            "fax_number": "334-396-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MEMORIAL DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673619",
            "telephone_number": "334-365-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1069817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.