| Dr William Leonard Gibson, MD | |
|
180 Medical St, Baptist Health Center - Snead, Snead, AL 35952 | |
| (205) 466-7114 | |
| (205) 466-3350 |
| Full Name | Dr William Leonard Gibson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 180 Medical St, Snead, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083609606 | NPI | - | NPPES |
| 000085126 | Medicaid | AL | |
| 051010596 | Other | AL | BCBS |
| 051545973 | Other | AL | BCBS |
| 051085126 | Other | AL | BLUE CROSS |
| 051554534 | Medicaid | AL | |
| 051520363 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10779 (Alabama) | Primary |
| 207P00000X | Emergency Medicine | 10779 (Alabama) | Secondary |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040615000906 |
| Entity Name | St. Vincent's Blount |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952599086 PECOS PAC ID: 0547171662 Enrollment ID: O20080221000108 |
| Entity Name | Southern Divine Family Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104456920 PECOS PAC ID: 0648692582 Enrollment ID: O20200622002415 |
| Entity Name | Gana Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396375267 PECOS PAC ID: 3476978412 Enrollment ID: O20200807000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Leonard Gibson, MD Po Box 576, Baptist Health Center - Snead, Snead, AL 35952-0576 Ph: (205) 466-7114 | Dr William Leonard Gibson, MD 180 Medical St, Baptist Health Center - Snead, Snead, AL 35952 Ph: (205) 466-7114 |