Provider Demographics
NPI:1912980954
Name:WESTER, DOUGLAS JOHN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JOHN
Last Name:WESTER
Suffix:JR
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 1:2006 FRANKLIN ST SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4551
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL197462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL136052Medicaid
AL141965Medicaid
AL51595697OtherBCBS
AL009911534Medicaid
AL009942886Medicaid
AL51595699OtherBCBS
AL009910996Medicaid
AL51595694OtherBCBS
AL51595695OtherBCBS
AL51595698OtherBCBS
AL141966Medicaid
AL33587Medicaid
AL51100025OtherBCBS
AL127008Medicaid
AL51595093OtherBCBS
AL51595696OtherBCBS
AL141649Medicaid
AL240873Medicaid
AL250583Medicaid
AL213662Medicaid
AL248930Medicaid