Organization Active NPI

Chivers R Woodruff MD PC

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1295818573
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHIVERS R WOODRUFF MD PC
Practice address
1220 17TH St S
Birmingham, AL 35205-4747
Phone
(256) 532-1888
Fax
(256) 532-3941
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Chivers R Woodruff, MDNPI 1124012232
Title
Owner/MD
Phone
(256) 532-1888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1220 17TH St S
Birmingham, AL 35205-4747

Mailing address

PO Box 660986
Vestavia Hills, AL 35266-0986
Phone (256) 532-1888

Other identifiers 1

IdentifierTypeStateIssuer
P00077538OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

1220 17th St S
Birmingham, AL 35205
Phone (205) 933-2180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1295818573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660986",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352660986",
            "telephone_number": "256-532-1888",
            "fax_number": "256-532-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 17TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054747",
            "telephone_number": "256-532-1888",
            "fax_number": "256-532-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIVERS R WOODRUFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "CHIVERS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "256-532-1888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00077538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.