Woodworth B Clum, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G64973 Issued in CA

Practice address

75 Nielson Street
Watsonville, CA 95076

Phone

(408) 724-4741

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bernie Clum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Medical Group

  • Emergency Medicine Physician
  • Watsonville, CA
  • NPI 1750395729
  NPD (past)
• Watsonville Emergency Medical Group

  • Emergency Medicine Physician
  • Watsonville, CA
  • NPI 1154571404
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1366499451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11719",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851719",
            "telephone_number": "800-592-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NIELSON STREET",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076",
            "telephone_number": "408-724-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUM",
        "first_name": "WOODWORTH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G64973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G649730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNIE",
            "last_name": "CLUM",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Clark
• Chloe Clarke
• Patricia Hall Clarke, MD
• Clinica del Valle del Pajaro
• Clinica Familiar Costa Central
• Coastal Health Partners
• Coastal Women'S Healthcare
• Elvia Cohen, RN
• Nathan Cohen, MD
• Kevin Coldwater

• Emergency Medicine Physician in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.