Provider Demographics
NPI:1407831589
Name:PAUL, WILLIAM ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALAN
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 OFFICE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2521
Mailing Address - Country:US
Mailing Address - Phone:205-933-0320
Mailing Address - Fax:205-933-6400
Practice Address - Street 1:12 OFFICE PARK CIR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2521
Practice Address - Country:US
Practice Address - Phone:059-332-0320
Practice Address - Fax:205-933-6400
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11408207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000018469Medicaid
AL51018469OtherBCBS
AL000018469Medicare ID - Type Unspecified
AL51018469OtherBCBS