Healthcare Provider Details

I. General information

NPI: 1861699043
Provider Name (Legal Business Name): WILLIAM HENRY BARBER V MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HWY 280 EAST SUITE 300
BIRMINGHAM AL
35223
US

IV. Provider business mailing address

2700 HWY 280 EAST SUITE 300
BIRMINGHAM AL
35223
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-9595
  • Fax: 205-802-7719
Mailing address:
  • Phone: 205-930-9595
  • Fax: 205-802-7719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberT1996
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number30592
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: