Active NPI
Barrett Jereme Woodhall, MD
- Emergency Medicine Physician
- Prineville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD28250
- Practice address
- 1201 NE Elm St
Prineville, OR 97754-1206 - Phone
- (541) 447-6254
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD28250 | OR | Primary |
Addresses
Primary practice location
1201 NE Elm St
Prineville, OR 97754-1206
Mailing address
3311 Indian Queen LN
Apt.#2
Philadelphia, PA 19129-1519
Phone (215) 908-6392
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bwoodhall126815@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Ohio, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.39 of 100
- Quality
- 83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28250 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Emergency Medicine | Current | Accepting new patients |
Locations
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
Emergency Medicine
-
- Psychiatric Hospital Unit
- Milwaukie, OR
- NPI 1659751360
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1174799902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 INDIAN QUEEN LN",
"address_2": "APT.#2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291519",
"telephone_number": "215-908-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NE ELM ST",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541206",
"telephone_number": "541-447-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODHALL",
"first_name": "BARRETT",
"middle_name": "JEREME",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD28250",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bwoodhall126815@oc.providencedirect.org",
"affiliation": "N",
"address_1": "10150 SE 32nd Ave",
"city": "Milwaukie",
"state": "OR",
"country_code": "US",
"postal_code": "972226516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.
- 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.