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DR BILL YATES MD PC NPI 1629276845


NPI Information

NPI: 1629276845
Provider Name: DR BILL YATES MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 01D0301985

Address:
203 19TH ST E
JASPER, AL
ZIP 35501
Phone: (205) 384-3481
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DR BILL YATES MD PC is a general practice in Jasper, AL. DR BILL YATES MD PC NPI is 1629276845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 19TH ST E
JASPER, AL
ZIP 35501-457
Phone: (205) 384-3481
Fax: (205) 384-1057

The provider's authorized official is Bill Yates .
The authorized official title is Doctor and has the following contact phone number (205) 384-3481.

The CLIA number assigned to this NPI record is 01D0301985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 8/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice10923ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000085092MEDICARE PINALABAMA
251085092OTHERALABAMABLUE CROSS & BLUE SHIELD
3529302220MEDICAIDALABAMA
4C70543MEDICARE UPINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.