WILBUR GLEN WELLS JR. (NPI# 1861458366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861458366 |
| Entity Type | Individual |
| Full Name | WILBUR GLEN WELLS JR. |
| Credential | MD |
| Practice Address |
3485 Independence Dr Birmingham AL 35209-5603 |
| Practice Telephone | 2059300920 |
| Practice Fax Number | 2054450115 |
| Mailing Telephone | 2059300920 |
| Mailing Fax Number | 2054450115 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
8827 | AL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 8827 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 511-41459 | 01 |
| AL | 153689 | 05 | |
| AL | 153913 | 05 | |
| AL | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 511-41460 | 01 |
| AL | CIGNA GOVERNMENT SERVICES PTAN | 0366100001 | 01 |
| Street Address |
3485 INDEPENDENCE DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053855122 | Pathway Healthcare Alabama LLC | Family Medicine | 48 Medical Park Dr E Ste 453, Birmingham, AL 35235-3472 | 2016-12-08 |
| 1881787539 | Amhealth Services, Inc | Family Medicine | 616 9th Street South, Birmingham, AL 35233 | 2006-10-02 |
| 1316449085 | Pathway Healthcare Alabama LLC | Family Medicine | 48 Medical Park Dr E Ste 453, Birmingham, AL 35235-3472 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208389 | Pathway Healthcare Alabama LLC | Family Medicine | 580 Providence Park Dr E Ste 125, Mobile, AL 36695-4614 | 2018-09-13 |
| 1558811562 | Pathway Healthcare, LLC | Family Medicine | 20 Hughes Rd Ste 101, Madison, AL 35758-2434 | 2016-10-13 |
| 1932418860 | Henry M Born Md PC | Family Medicine | 3871 Old Us Highway 278 E, Hokes Bluff, AL 35903-7507 | 2010-09-27 |
| 1801121504 | Shedden Pain Relief & Sports Medicine LLC | Family Medicine | 1733 W Main St, Suite 100, Dothan, AL 36301-1330 | 2009-10-14 |
| 1386883643 | Eugene Saiter | Family Medicine | 22765 State Highway 59 S, Robertsdale, AL 36567-3197 | 2009-02-10 |
| 1003967332 | Nancy Tarbox White | Family Medicine | 4525 Colewood Cir Se, Huntsville, AL 35802-1887 | 2007-01-15 |
| 1417064536 | Diana W. Warren | Family Medicine | 42030 Highway 195, Suite C, Haleyville, AL 35565 | 2006-08-24 |
| 1952365587 | Donald Bryant Williams | Family Medicine | 1810 3rd Ave S Ste 101, Jasper, AL 35501-5399 | 2006-04-12 |
| 1033676937 | Aletha Lakay Edison M D LLC | Family Medicine | 1416 6th Ave Se Unit D, Decatur, AL 35601-4247 | 2019-02-27 |
| 1588166250 | Pathway Healthcare Alabama LLC | Family Medicine | 2131 Military St S, Hamilton, AL 35570-6651 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.