Basic Information
| Provider Information | |||||||||
| NPI: | 1780683011 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOMERALL | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2006 BROOKWOOD MEDICAL CTR DR | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352096899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2053978850 | ||||||||
| FaxNumber: | 2053978855 | ||||||||
| Practice Location | |||||||||
| Address1: | 3507 KINGSHILL RD | ||||||||
| Address2: | |||||||||
| City: | MOUNTAIN BRK | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352231470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054781051 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2005 | ||||||||
| LastUpdateDate: | 08/21/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 10905 | AL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 174400000X | 00010905 | AL | Y | Other Service Providers | Specialist |
No ID Information.