Individual provider Active NPI

Brandon Woodbury, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Fresno, CA
National Provider Identifier
1447424023
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A111928 Issued in CA
Practice address
2335 E Kashian LN Ste 240
Fresno, CA 93701-2211
Phone
(559) 320-0545
Fax
(559) 320-0550
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A111928 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A111928 CA Primary

Addresses

Primary practice location

2335 E Kashian LN Ste 240
Fresno, CA 93701-2211

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other practice location 1

729 N Medical Center Dr W Ste 111
Clovis, CA 93611-6880
Phone (559) 666-1993

Other practice location 2

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180927000298 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921276312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical CenterGroup PAC ID 3971409335, 45 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3301

1313 E Herndon Ave
Suite 101B/202 207/209
Fresno, CA 93720-3306
Phone (559) 439-6808

15 E Audubon Dr
Fresno Heart and Surgical Hospital
Fresno, CA 93720-1542
Phone (559) 433-8000

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-2438

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair30
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111928CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince Jan 10, 2025 Accepting new patients
Trinity Home Health Services CurrentSince Jan 10, 2025 Accepting new patients
Clovis Community Medical Center CurrentSince Jan 26, 2019 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Jan 26, 2019 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

726 N Medical Center Dr E
Ste 125
Clovis, CA 93611
Phone (559) 439-6808

729 N Medical Center Dr W
Ste 111
Clovis, CA 93611
Phone (559) 320-0531

1313 E Herndon Ave
Ste 101B
Fresno, CA 93720

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1313 E Herndon Ave
Ste 209
Fresno, CA 93720

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

1313 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 439-6808

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1313 E Herndon Ave
#209
Fresno, CA 93720

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

1313 E Herndon Ave
Ste 202
Fresno, CA 93720
Phone (559) 237-9118

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1447424023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 240",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012211",
            "telephone_number": "559-320-0545",
            "fax_number": "559-320-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 N Medical Center Dr W Ste 111",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116880",
            "country_code": "US",
            "telephone_number": "559-666-1993",
            "fax_number": "559-540-2957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203309",
            "country_code": "US",
            "telephone_number": "559-450-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A111928",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A111928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.