NPIMap

Organization Active NPI

Woodstock Medical, LLC

  • Surgery Physician
  • Anniston, AL
National Provider Identifier
1518170133
Registry record updated Dec 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12210 Issued in AL
Legal business name
WOODSTOCK MEDICAL, LLC
Practice address
409 E 10TH St
Suite 100
Anniston, AL 36207-4781
Phone
(256) 236-1300
Fax
(256) 236-0254
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2012

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

Authorized official

Name
Dr. Robert Bryan Freeman, M.D.
Title
President
Phone
(256) 236-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 12210 AL Primary

Addresses

Primary practice location

409 E 10TH St
Suite 100
Anniston, AL 36207-4781

Mailing address

409 E 10TH St
Suite 100
Anniston, AL 36207-4781
Phone (256) 236-1300

National Provider Directory

National Provider Directory

Locations

409 E 10th St
Ste 100
Anniston, AL 36207
Phone (256) 236-1300

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356825600000",
    "number": "1518170133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 10TH ST",
            "address_2": "SUITE 100",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074781",
            "telephone_number": "256-236-1300",
            "fax_number": "256-236-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 10TH ST",
            "address_2": "SUITE 100",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074781",
            "telephone_number": "256-236-1300",
            "fax_number": "256-236-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-12-30",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-236-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; 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.