Provider Demographics
NPI:1902833213
Name:ROY, JAMES WILLIAM (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:ROY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 MEMORIAL PARKWAY SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5318
Mailing Address - Country:US
Mailing Address - Phone:256-213-1800
Mailing Address - Fax:
Practice Address - Street 1:3500 MEMORIAL PARKWAY SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5318
Practice Address - Country:US
Practice Address - Phone:256-213-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9462207R00000X, 208000000X
WI49052-020207RS0012X, 2080S0012X
NC2007-00583207RS0012X, 2080S0012X
GA059186207RS0012X, 2080S0012X
ALMD.281742080S0012X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI34925Medicare UPIN
TX8D6771Medicare ID - Type UnspecifiedMEDICARE PROVIDER #