Provider Demographics
NPI:1790781060
Name:PARKER, WILLIAM HENRY V (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY
Last Name:PARKER
Suffix:V
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 1:1848 PARKLAND DRIVE NE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058
Mailing Address - Country:US
Mailing Address - Phone:256-739-2885
Mailing Address - Fax:256-739-2898
Practice Address - Street 1:1848 PARKLAND DRIVE NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058
Practice Address - Country:US
Practice Address - Phone:256-739-2885
Practice Address - Fax:256-739-2898
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL19-10081OtherUNITED HEALTHCARE PROVIDE
AL4480738-002OtherCIGNA PROVIDER
AL000025761Medicaid
AL051009525OtherBC-BS OF ALABAMA PROVIDER
AL051031995OtherBC-BS OF ALABAMA PROVIDE
AL000031995Medicaid
AL051025761OtherBC-BS OF ALABAMA PROVIDER
AL000009525Medicaid
AL340003442Medicare ID - Type UnspecifiedRR MEDICARE PROVIDER
AL000009525Medicaid
AL4480738-002OtherCIGNA PROVIDER
AL051009525OtherBC-BS OF ALABAMA PROVIDER
AL000025761Medicaid