Bruce a Woodling MD Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

G24570 Issued in CA

Legal business name

BRUCE A WOODLING MD INC

Practice address

148 N Brent St Ste 102
Ventura, CA 93003-2825

Phone

(805) 482-6643

NPI assigned

Jul 30, 2007

Last updated

Feb 6, 2024By 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

Bruce A Woodling, MDNPI 1457433971

Title

President

Phone

(805) 482-6643

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Arthur Woodling, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Ventura, CA
  • NPI 1457433971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1164612776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930021088",
            "telephone_number": "805-482-6643",
            "fax_number": "805-388-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N BRENT ST STE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032825",
            "telephone_number": "805-482-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A WOODLING MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "WOODLING",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-482-6643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G24570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G24570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1457433971",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G24570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Brown
• Pamela Brown
• Savina Brown
• Sophia Yufen Brown
• Richard Blackmar Browne, MD
• Thomas Michael Brugman, M.D.
• Mark Brunette, O.D.
• Emily Kathryn Bruning, MD
• Ralph Del Brunner, DDS
• Amy L Bruns

• Geriatric Medicine (Family Medicine) Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.