Healthcare Provider Details

I. General information

NPI: 1427036656
Provider Name (Legal Business Name): WILLIAM W ALDEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 HOUMA BLVD STE 1B
METAIRIE LA
70006-2920
US

IV. Provider business mailing address

3941 HOUMA BLVD STE 1B
METAIRIE LA
70006-2920
US

V. Phone/Fax

Practice location:
  • Phone: 504-320-2005
  • Fax: 800-816-5191
Mailing address:
  • Phone: 504-320-2005
  • Fax: 800-816-5191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberL024150
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.024150
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberL024150
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberL024150
License Number StateLA
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number024150
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: