Provider Demographics
NPI:1255376448
Name:ALABAMA FOOT SPECIALISTS PC
Entity type:Organization
Organization Name:ALABAMA FOOT SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:251-661-3332
Mailing Address - Street 1:5614 COTTAGE HILL RD
Mailing Address - Street 2:STE A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-4211
Mailing Address - Country:US
Mailing Address - Phone:251-661-3332
Mailing Address - Fax:251-661-3633
Practice Address - Street 1:5614 COTTAGE HILL RD
Practice Address - Street 2:STE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4211
Practice Address - Country:US
Practice Address - Phone:251-661-3332
Practice Address - Fax:251-661-3633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00269213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00156989OtherMEDICARE RAILROAD
ALP00156989OtherMEDICARE RAILROAD
ALJ831Medicare ID - Type Unspecified
ALU99572Medicare UPIN