WILBUR GLEN WELLS MD NPI 1861458366

NPI Information

NPI: 1861458366
Provider Name: WILBUR GLEN WELLS, MD
Classification: Family Medicine - 207QA0401X
Specialization: Addiction Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 3485 INDEPENDENCE DR
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 930-0920

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NPI Details

Wilbur Glen Wells, MD is an addiction medicine family medicine in Birmingham, AL with 53 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Wilbur Glen Wells, MD NPI is 1861458366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1972

The provider's business location address is:

3485 INDEPENDENCE DR
BIRMINGHAM, AL
ZIP 35209-603
Phone: (205) 930-0920
Fax: (205) 445-0115

The NPI 1861458366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 1/24/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	8827	ALABAMA	Yes
2	208800000X	Urology		8827	ALABAMA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	511-41459	OTHER	ALABAMA	BLUE CROSS AND BLUE SHIELD OF ALABAMA
2	153689	MEDICAID	ALABAMA
3	153913	MEDICAID	ALABAMA
4	511-41460	OTHER	ALABAMA	BLUE CROSS AND BLUE SHIELD OF ALABAMA
5	0366100001	OTHER	ALABAMA	CIGNA GOVERNMENT SERVICES PTAN

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: 3/30/2025

NPI Synchronization or Removal

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