Individual
WILLIAM J ROGERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6125
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005326
BLUE CROSS
AL
05
—
000005326
—
AL
01
—
051595559
BLUE CROSS
AL
01
—
063510590
RAILROAD MEDICARE
AL
05
—
107074
—
AL
01
—
126999
MISSISSIPPI MEDICAID
MS
01
—
C71770
VIVA
AL
Enumeration date
07/20/2006
Last updated
07/20/2011
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