NPIMap

Individual provider Active NPI

Brent Allen Woodson, DO

  • Pulmonary Disease Physician
  • Grand Junction, CO
National Provider Identifier
1710133491
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
54118 Issued in CO
Practice address
2373 G Rd Ste 160
Grand Junction, CO 81505-1003
Phone
(970) 263-2680
Fax
(970) 263-2684
NPI assigned
Aug 13, 2008
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 54118 CO Primary

Addresses

Primary practice location

2373 G Rd Ste 160
Grand Junction, CO 81505-1003

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 263-2680

Other identifiers 1

IdentifierTypeStateIssuer
38758270MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112001371 CO Practitioner - Pulmonary Disease 2668694308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Kansas City University of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7707

2373 G Rd
Grand Junction, CO 81505-1003

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54118COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Colorado West Healthcare System CurrentSince Sep 2, 2014 Accepting new patients
Community Medical Group, LLC CurrentSince Sep 2, 2014 Accepting new patients
Valley View Hospital Association CurrentSince Aug 1, 2016 Accepting new patients
Colorado West Healthcare System Current Accepting new patients
Community Medical Group, LLC CurrentSince Jul 5, 2017 Accepting new patients
Community Medical Group, LLC CurrentSince Jul 5, 2017 Accepting new patients
Valley View Hospital Association Pulmonary Disease CurrentSince Aug 1, 2016 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Community Medical Group, LLC Pulmonary Disease Past Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

688 23 12 Rd Ste 303 Apccgv
Grand JCT, CO 81505

2373 G Rd
Ste 160
Grand Junction, CO 81505
Phone (970) 263-2680

2503 Foresight Cir
Ste A
Grand Junction, CO 81505
Phone (970) 263-2680

Interoperability endpoints

  • Direct secure messaging: brent.woodson.1@9028.direct.athenahealth.com
  • Direct secure messaging: brentwoodson@gvpc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1710133491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-263-2680",
            "fax_number": "970-263-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 160",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051003",
            "telephone_number": "970-263-2680",
            "fax_number": "970-263-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "54118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38758270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.