Active NPI
Chivers R Woodruff MD PC
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1295818573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chivers R Woodruff, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00077538 | Other | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1124012232
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.