MEDICARE: WILLIAM P. WARE, JR. DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	DO-95	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-10920	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891768032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P. WARE, JR. DO

Provider Business Mailing Address
First Line	:	2151 OLD ROCKY RIDGE RD STE 106
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-7251
Country	:	US
Telephone Number	:	205-989-1080
Fax Number	:	205-989-1087

Provider Business Practice Location Address
First Line	:	470 TAYLOR RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3563
Country	:	US
Telephone Number	:	334-226-4048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	01/09/2020

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Directions to “ WILLIAM P. WARE, JR. DO” Practice Location

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