Provider Demographics
NPI:1619015328
Name:NORRIS, WILLIAM B (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:NORRIS
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 1:188 HOSPITAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2043
Mailing Address - Country:US
Mailing Address - Phone:251-928-0300
Mailing Address - Fax:251-990-1898
Practice Address - Street 1:188 HOSPITAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2043
Practice Address - Country:US
Practice Address - Phone:251-928-0300
Practice Address - Fax:251-990-1898
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11846207Y00000X
TNMD0000012974207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL14312OtherBLUE CROSS
AL14312Medicaid
C71261Medicare UPIN
AL14312OtherBLUE CROSS