Wilbur Glen Wells JR.
Urologist Family Doctor - Addiction Medicine
3485 Independence Dr
Birmingham
, Alabama 35209-5603
Wilbur Glen Wells JR.
Urologist Family Doctor - Addiction Medicine
3485 Independence Dr
Birmingham
, Alabama 35209-5603
(205) 445-0115
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Urologist
Languages spoken
- English
Location
First Address
- Wilbur Glen Wells JR.
- 3485 Independence Dr
- Birmingham, AL
- Zip : 35209-5603
- Fax : (205) 445-0115
- Phone : (205) 930-0920
Second Address
- Wilbur Glen Wells JR.
- 3485 Independence Dr
- Birmingham, AL
- Zip : 35209-5603
- Fax : (205) 445-0115
- Phone : (205) 930-0920
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 8827 | AL |
| N | 208800000X | Urologist | 8827 | AL |
National Provider Identifier
| NPI | 1861458366 |
|---|---|
| Provider Name | Wilbur Glen Wells JR. |
| First Address | Birmingham, AL 35209-5603 |
| Second Address | Birmingham, AL 35209-5603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2006 |
| Last Update Date | 24/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0366100001 | CIGNA GOVERNMENT SERVICES PTAN (01) | AL |
| 153689 | (05) | AL |
| 153913 | (05) | AL |
| 511-41459 | BLUE CROSS AND BLUE SHIELD OF ALABAMA (01) | AL |
| 511-41460 | BLUE CROSS AND BLUE SHIELD OF ALABAMA (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.