Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
CLARENCE WILLIAM WIMBERLY JR.
Active
Individual
CLARENCE WILLIAM WIMBERLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057404
—
SC
01
—
P01396493
RR MEDICARE
SC
Enumeration date
11/04/2005
Last updated
04/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up