Brenham Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L2758 Issued in TX

Legal business name

BRENHAM DERMATOLOGY PLLC

Practice address

1910 Niebuhr
Brenham, TX 77833-5037

Phone

(979) 353-4267

NPI assigned

Mar 5, 2010

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christy A Woodruff, MD

Title

Owner

Phone

(979) 353-4267

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1104149012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 NIEBUHR ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335037",
            "telephone_number": "979-353-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NIEBUHR",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335037",
            "telephone_number": "979-353-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENHAM DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-353-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenham Clinic Assn
• Brenham Clinic Assn
• Brenham Clinic Assn
• Brenham Clinic Assn
• Brenham Clinic Assn
• Brenham Drug Partners LC (Norman's Pharmacy)
• Brenham Drug Partners LC (Norman's Pharmacy, LTC)
• Brenham Eye Associates PLLC (VIEW Brenham)
• Brenham Eye Associates, PA
• Brenham Family Care, PLLC

• Dermatology Physician in Brenham, TX
• Providers in Brenham, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.