Healthcare Provider Details

I. General information

NPI: 1902484017
Provider Name (Legal Business Name): WILLIAM SETH CAPPLEMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 19TH ST S
BIRMINGHAM AL
35233-1900
US

IV. Provider business mailing address

1155 W JACKSON ST
TUPELO MS
38804-2538
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4793
  • Fax:
Mailing address:
  • Phone: 662-587-3106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO.3055
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDO.3055
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33419
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: