Provider Demographics
NPI:1811925241
Name:SUMMERS, WILLIAM D (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:52 MEDICAL PARK DR E
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3430
Mailing Address - Country:US
Mailing Address - Phone:205-838-3740
Mailing Address - Fax:205-838-3845
Practice Address - Street 1:52 MEDICAL PARK DR E STE 215
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3424
Practice Address - Country:US
Practice Address - Phone:205-838-3740
Practice Address - Fax:205-838-3845
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00014623207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1811925241OtherNPI
AL051530187Medicaid
AL051530187Medicaid
ALA98729Medicare UPIN