Bert W Wofford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P8002 Issued in TX

Practice address

774 State Highway 70 N
Rotan, TX 79546-6918

Phone

(325) 735-2211

Fax

(325) 735-2240

NPI assigned

Jun 15, 2006

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Stonewall Memorial Hospital

  • Critical Access Hospital
  • Aspermont, TX
  • NPI 1083612121
  Medicare reassignment
• Stonewall Memorial Hospital

  dba Kent County Rural Health Clinic

  • Rural Health Clinic/Center
  • Jayton, TX
  • NPI 1679992911
  NPD (past)
• Eastern Medical Associates LLC

  • Family Medicine Physician
  • Portales, NM
  • NPI 1346272499
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1144264805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 STATE HIGHWAY 70 N",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795466918",
            "telephone_number": "325-735-2211",
            "fax_number": "325-735-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE HIGHWAY 70 N",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795466918",
            "telephone_number": "325-735-2211",
            "fax_number": "325-735-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "BERT",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2004-0074",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Living Properties LLC (Rotan Healthcare Center)
• Sweetwater-Nolan Co Health
• Toutbon LLC
• Toutbon LLC (Clinic Pharmacy)
• Chad Lewis White, MD

• Family Medicine Physician in Rotan, TX
• Providers in Rotan, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.