Provider Demographics
NPI:1982818555
Name:BRIX, WILLIAM K (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:BRIX
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 1:2904 WESTCORP BLVD SW STE 108
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-6436
Mailing Address - Country:US
Mailing Address - Phone:256-533-1480
Mailing Address - Fax:256-535-0715
Practice Address - Street 1:2904 WESTCORP BLVD SW STE 107
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-6436
Practice Address - Country:US
Practice Address - Phone:256-533-1480
Practice Address - Fax:256-535-0715
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30155207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-05980OtherBCBS OF ALABAMA
AL118862Medicaid