Active NPI
Bruce Alan Woolman, D.O.
- Family Medicine Physician
- Estes Park, CO
National Provider Identifier
1225099450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37314
- Practice address
- 131 Stanley Avenue
Suite 202
Estes Park, CO 80517 - Phone
- (970) 586-2343
- Fax
- (970) 586-9060
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37314 | CO | Primary |
Addresses
Primary practice location
131 Stanley Avenue
Suite 202
Estes Park, CO 80517
Mailing address
131 Stanley Avenue
Suite 202
Estes Park, CO 80517
Phone (970) 586-2343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09903275 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37314 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1225099450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 STANLEY AVENUE",
"address_2": "SUITE 202",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "80517",
"telephone_number": "970-586-2343",
"fax_number": "970-586-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 STANLEY AVENUE",
"address_2": "SUITE 202",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "80517",
"telephone_number": "970-586-2343",
"fax_number": "970-586-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLMAN",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "37314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09903275",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Estes Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.