Active NPI
Brett Malcom Woodard
- Social Worker
- Columbia, TN
National Provider Identifier
1588993158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094800862
- Practice address
- 2533 Antrim Cir
Columbia, TN 38401-5829 - Phone
- (931) 797-6044
- NPI assigned
- Dec 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094800862 | TN | Primary |
Addresses
Primary practice location
2533 Antrim Cir
Columbia, TN 38401-5829
Mailing address
2533 Antrim CR.
Columbia, TN 38401
Phone (931) 797-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094800862 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1588993158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 ANTRIM CR.",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-797-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2533 ANTRIM CIR",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384015829",
"telephone_number": "931-797-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "BRETT",
"middle_name": "MALCOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "094800862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.