Provider Demographics
NPI:1952353153
Name:COX, WILLIAM ROBERT (M D)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ROBERT
Last Name:COX
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DEBORAH DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1414
Mailing Address - Country:US
Mailing Address - Phone:256-880-3847
Mailing Address - Fax:256-880-3847
Practice Address - Street 1:4601 WHITESBURG DR S
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1676
Practice Address - Country:US
Practice Address - Phone:256-880-1050
Practice Address - Fax:256-880-7477
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12548207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000040758Medicaid
AL000040758Medicare PIN
AL000040758Medicaid