Provider Demographics
NPI:1740269497
Name:ALFORD, WILLIAM L (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:ALFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:297 INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-2911
Mailing Address - Country:US
Mailing Address - Phone:757-385-0511
Mailing Address - Fax:
Practice Address - Street 1:297 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 126
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2911
Practice Address - Country:US
Practice Address - Phone:757-385-0511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029440207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA320476OtherANTHEM
VAC03534OtherCITY OF VA BEACH MCR GRP#
0005653125OtherAETNA
1022651OtherCIGNA BEHAVIORAL HEALTH
165590OtherCOMPSYCH
VA007210841Medicaid
VA004945395OtherVA PREMIER
VA007306610Medicaid
VA088922OtherSENTARA
VA2015813OtherCIGNA
VA1861562472Medicaid
VA395997OtherANTHEM
VA54-0722061OtherCTIY OF VA BEACH TAXID#
046836OtherVALUE-OPTIONS
VA254853000OtherMAGELLAN
VA330056OtherANTHEM BCBS
165590OtherCOMPSYCH
57411Medicare UPIN
VA007306610Medicaid
VA790000006Medicare PIN