Individual
DR. JERRY BRENT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11854
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
11854
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009954995
—
AL
05
—
07887859
—
MS
05
—
112590
—
AL
05
—
112594
—
AL
05
—
112603
—
AL
01
—
25-10012
UNITED HEALTHCARE
—
01
—
4198103
AETNA
—
01
—
510-49319
BCBS
AL
01
—
510-49320
BCBS
AL
01
—
510-49461
BCBS
AL
01
—
51049461
BCBS
AL
01
—
51521840
BCBS
AL
01
—
P00138871
RAILROAD MEDICARE
—
01
—
P00742166
RAILROAD MEDICARE
AL
Enumeration date
01/30/2006
Last updated
11/24/2009
Update your record
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