Provider Demographics
NPI:1023321411
Name:PITTS, WILLIAM BRADLEY (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRADLEY
Last Name:PITTS
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:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:
Practice Address - Street 1:5955 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-633-0573
Practice Address - Fax:251-633-7367
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31904207RC0200X, 207RP1001X, 207RP1001X
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL197983Medicaid
AL239801Medicaid
AL511-92370OtherBCBS
AL512-05755OtherBCBS
AL197992Medicaid
AL214400Medicaid
ALP01901960OtherRR MEDICARE
ALZ22370OtherVIVA HEALTH
AL213097Medicaid
AL102I291133OtherMEDICARE
AL199615Medicaid
AL4731200OtherAETNA
AL5427272OtherCIGNA HC
AL511-92369OtherBCBS
AL3661053OtherUHC
MS2527030OtherMS MEDICAID
AL511-92371OtherBCBS
AL512-05756OtherBCBS