Basic Information
| Provider Information | |||||||||
| NPI: | 1689756314 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARBER | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | HENRY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 40480 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366400480 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514343626 | ||||||||
| FaxNumber: | 2514452464 | ||||||||
| Practice Location | |||||||||
| Address1: | 2451 UNIVERSITY HOSPITAL DRIVE | ||||||||
| Address2: | MASTIN 101 | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366172300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514458282 | ||||||||
| FaxNumber: | 2514458281 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 03/05/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 9300 | AL | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 13654 | MS | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0127X | 9300 | AL | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
ID Information
| ID | Type | State | Issuer | Description | P00641627 | 01 | MS | RAILROAD MEDICARE | OTHER | 00112815 | 05 | MS | MEDICAID |