Individual provider Active NPI

Brian Eric Woodruff, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Saginaw, MI
National Provider Identifier
1215921432
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
4301077699 Issued in MI
Practice address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone
(899) 746-7500
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301077699 MI
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 4301077699 MI Primary

Addresses

Primary practice location

1000 Houghton Ave
Saginaw, MI 48602-5303

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (899) 746-7500

Other practice location 1

601 John St Ste M-124
Kalamazoo, MI 49007-5377
Phone (269) 341-7500

Other practice location 2

35 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2528
Phone (616) 267-2500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwoodruff1481@direct.covenanthealthcare.com
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040903001185 MI Practitioner - Neurology 3476529066 Reassigns benefits to 6 organizations
I20160210001239 IL Practitioner - NeurologyPractitioner - Pediatric Medicine 3476529066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301077699MIMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
Saginaw Cooperative Hospitals, Inc Pediatrics CurrentSince Oct 11, 2024 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 11, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 10, 2016 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Oct 11, 2024 Accepting new patients
Munson Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Munson Medical Center Current Accepting new patients
Lakeland Medical Practices CurrentSince Jul 1, 2020 Accepting new patients
Bronson Methodist Hospital CurrentSince Sep 11, 2017 Accepting new patients
Iha Health Service Corporation CurrentSince Feb 1, 2009 Accepting new patients
Lakeland Medical Practices Current Accepting new patients
Iha Health Services Corporation CurrentSince Feb 1, 2009 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 11, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois Pediatrics CurrentSince Jan 10, 2016 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Michigan Multispecialty Physicians, P.C. Neurology With Special Qualifications in Child Neurology Past Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

7694 Solutions Ctr
Chicago, IL 60677

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

301 John St
#42
Kalamazoo, MI 49007

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

3875 Bay Rd
Ste 1S
Saginaw, MI 48603
Phone (517) 793-1372

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

550 Munson Ave
Ste 202
Traverse City, MI 49686
Phone (231) 935-7548

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: bwoodruff92987@direct.bronsonhg.org
  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: bwoodruff1481@direct.covenanthealthcare.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1215921432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "899-746-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "899-746-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-124",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075377",
            "country_code": "US",
            "telephone_number": "269-341-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Michigan St NE Ste 3003",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032528",
            "country_code": "US",
            "telephone_number": "616-267-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "BRIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301077699",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MI",
            "license": "4301077699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwoodruff1481@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1000 Houghton Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct Address",
            "affiliationName": "Bronson HealthCare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.