Williams, Brooke Bondly
Williams, Brooke Bondly is an individual health care provider with primary practice located at 2401 Village Professional Dr , Opelika AL 36801-4702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Williams, Brooke Bondly can be contacted via phone (334) 749-8121.Contact Information
Primary practice address
2401 Village Professional Dr
Opelika AL 36801-4702
Phone: (334) 749-8121
Fax: (334) 749-6166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28020 | Alabama |
Profile Details
| NPI number | 1588872568 |
|---|---|
| LBN Legal business name | Williams, Brooke Bondly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588872568 | NPPES |
| Alabama | Other | 28020 | STATE MEDICAL LICENSE |
| Alabama | MEDICAID | 107771 | STATE MEDICAL LICENSE |
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