Provider Demographics
NPI:1295764124
Name:ADMIRE, WILLIAM E JR (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:ADMIRE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 DAUPHIN ST
Mailing Address - Street 2:BUILDING B, SUTE 118
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4060
Mailing Address - Country:US
Mailing Address - Phone:251-454-4579
Mailing Address - Fax:251-287-1466
Practice Address - Street 1:5 MOBILE INFIRMARY CIR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3513
Practice Address - Country:US
Practice Address - Phone:251-545-4579
Practice Address - Fax:251-287-1466
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.340207P00000X, 207Q00000X, 208M00000X, 207R00000X
ALDO-340207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000008235Medicaid
AL510-48739OtherBCBS
AL009936158Medicaid
AL009991575Medicaid
AL515-33010OtherBCBS
AL515-33040OtherBCBS
AL510-48738OtherBCBS
AL511-16533OtherBCBS
AL511-16534OtherBCBS
AL009936156Medicaid
AL009936157Medicaid
AL515-33011OtherBCBS
AL510-08235OtherBCBS
AL511-16535OtherBCBS
AL151881Medicaid
AL009938389Medicaid
AL1295764124OtherTRICARE SOUTH
AL515-33011OtherBCBS
AL1295764124OtherTRICARE SOUTH
AL510-48739OtherBCBS
AL009936158Medicaid
AL102I084951Medicare PIN
AL051527034Medicare PIN