Provider Demographics
NPI:1952365587
Name:WILLIAMS, DONALD BRYANT (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:BRYANT
Last Name:WILLIAMS
Suffix:
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 1:2090 COLUMBIANA RD
Mailing Address - Street 2:SUITE 4400
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2153
Mailing Address - Country:US
Mailing Address - Phone:205-824-8000
Mailing Address - Fax:205-824-8111
Practice Address - Street 1:1810 3RD AVE S STE 101
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-5399
Practice Address - Country:US
Practice Address - Phone:205-775-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL70142085R0202X, 208D00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51046855OtherBLUE CROSS/BLUE SHIELD
AL51046855OtherBLUE CROSS/BLUE SHIELD
AL300010727Medicare PIN
AL000046855Medicare ID - Type Unspecified