Healthcare Provider Details

I. General information

NPI: 1780683011
Provider Name (Legal Business Name): WILLIAM E. SOMERALL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 KINGSHILL RD
MOUNTAIN BRK AL
35223-1470
US

IV. Provider business mailing address

2006 BROOKWOOD MEDICAL CTR DR SUITE 202
BIRMINGHAM AL
35209-6899
US

V. Phone/Fax

Practice location:
  • Phone: 205-478-1051
  • Fax:
Mailing address:
  • Phone: 205-397-8850
  • Fax: 205-397-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number10905
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number00010905
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: