Healthcare Provider Details

I. General information

NPI: 1568556280
Provider Name (Legal Business Name): WILLIAM PEYTON SHIRLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/16/2024
Certification Date: 11/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5406 HIGHWAY 280 SUITE A101
BIRMINGHAM AL
35242
US

IV. Provider business mailing address

5406 HIGHWAY 280 SUITE A101
BIRMINGHAM AL
35242
US

V. Phone/Fax

Practice location:
  • Phone: 205-874-9436
  • Fax: 205-874-9438
Mailing address:
  • Phone: 205-874-9436
  • Fax: 205-874-9438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number22947
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: