Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 31904 | AL |
N | 111NI0900X | Internist | 31904 | AL |
N | 207RC0200X | Critical Care Medicine | 31904 | AL |
Y | 207RP1001X | Pulmonary Disease | 31904 | AL |
NPI | 1023321411 |
---|---|
Provider Name | Dr. William Bradley Pitts |
First Address | Mobile, AL 36670-0987 |
Second Address | Mobile, AL 36608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2010 |
Last Update Date | 29/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102I291133 | MEDICARE (01) | AL |
197983 | (05) | AL |
197992 | (05) | AL |
199615 | (05) | AL |
213097 | (05) | AL |
214400 | (05) | AL |
239801 | (05) | AL |
2527030 | MS MEDICAID (01) | MS |
3661053 | UHC (01) | AL |
4731200 | AETNA (01) | AL |
511-92369 | BCBS (01) | AL |
511-92370 | BCBS (01) | AL |
511-92371 | BCBS (01) | AL |
512-05755 | BCBS (01) | AL |
512-05756 | BCBS (01) | AL |
5427272 | CIGNA HC (01) | AL |
P01901960 | RR MEDICARE (01) | AL |
Z22370 | VIVA HEALTH (01) | AL |