Chivers R Woodruff, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00007007 Issued in AL

Practice address

1220 17TH St S
Birmingham, AL 35205-4747

Phone

(256) 532-1888

Fax

(256) 532-3941

NPI assigned

Sep 2, 2005

Last updated

May 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chivers R Woodruff MD PC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1295818573
  NPD (past) Authorized official
• Greenville Footcare LLC

  • Podiatrist
  • Greenville, AL
  • NPI 1851324271
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1124012232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660986",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352660986",
            "telephone_number": "256-532-1888",
            "fax_number": "256-532-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 17TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054747",
            "telephone_number": "256-532-1888",
            "fax_number": "256-532-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "CHIVERS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00007007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020921",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912606",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00077538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-44238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Hunter Woodbury
• Anna-Grace Wooddy, RBT
• Tarah Woodfin
• Taylor Austin Woodfin, M.D.
• Cammie H Woodruff, OTR/L
• Dana Clark Woodruff, LPC
• Julie L Woodruff, PH.D.
• Madison Brooke Woodruff
• Alexander Woods, MD
• Andrew C Woods Jr., CPHT

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.