Provider Demographics
NPI:1568556280
Name:SHIRLEY, WILLIAM PEYTON (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PEYTON
Last Name:SHIRLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5406 HIGHWAY 280
Mailing Address - Street 2:SUITE A101
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:205-374-9436
Mailing Address - Fax:205-874-9438
Practice Address - Street 1:5406 HIGHWAY 280
Practice Address - Street 2:SUITE A101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-374-9436
Practice Address - Fax:205-874-9438
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL22947207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630307306OtherUNITED HEALTHCARE
AL160779Medicaid
AL159949Medicaid
AL8216659OtherCIGNA
AL511-46495OtherBLUECROSS BLUESHIELD
AL7639777OtherAETNA
ALI35803OtherVIVA HEALTH
AL051556354SHIMedicare ID - Type UnspecifiedMEDICARE
AL511-46495OtherBLUECROSS BLUESHIELD
AL051529156SHIMedicare ID - Type UnspecifiedCHILDRENS SOUTH