Provider Demographics
NPI:1578513925
Name:WOODALL, WILLIAM CARVEL III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CARVEL
Last Name:WOODALL
Suffix:III
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 1:806 ST. VINCENT'S DRIVE, 4
Mailing Address - Street 2:SUITE 450
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205
Mailing Address - Country:US
Mailing Address - Phone:205-986-5200
Mailing Address - Fax:205-986-5250
Practice Address - Street 1:806 ST. VINCENT'S DRIVE, 4
Practice Address - Street 2:SUITE 450
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-986-5200
Practice Address - Fax:205-986-5250
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12175207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051083354OtherBLUE ADVANTAGE
AL0610024OtherUNITED HEALTH CARE
AL000083354Medicaid
374211700OtherUS DEPARTMENT OF LABOR
AL51083354OtherBLUE CROSS & BLUE SHIELD
ALE73937OtherHEALTHSPRING INSURANCE
AL2239511OtherCIGNA INSURANCE
ALE73937OtherSENIORS FIRST
AL6151720001Medicare NSC
130004518Medicare PIN
374211700OtherUS DEPARTMENT OF LABOR
AL051083354OtherBLUE ADVANTAGE