Healthcare Provider Details

I. General information

NPI: 1720834898
Provider Name (Legal Business Name): WILLIAM BARRETT COHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 7TH AVENUE SOUTH D202 BOSHELL BUILDING
BIRMINGHAM AL
35233
US

IV. Provider business mailing address

1808 7TH AVENUE SOUTH D202 BOSHELL BUILDING
BIRMINGHAM AL
35233
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: