Active NPI
Christy A Woodruff, MD
- Dermatology Physician
- Brenham, TX
National Provider Identifier
1821099953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- L2758
- Practice address
- 68Oo Quebe Rd
Brenham, TX 77833 - Phone
- (713) 303-0037
- NPI assigned
- Aug 10, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L2758 | TX | |
| Dermatology Physician | 207N00000X | L2758 | TX | Primary |
Addresses
Primary practice location
68Oo Quebe Rd
Brenham, TX 77833
Mailing address
PO Box 7
Brenham, TX 77834-0007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Surgery Associates P.a. | Dermatology | Current | Accepting new patients |
| Confermed of California PC | Current | Accepting new patients | |
| Dermatology Group of SL PA | Dermatology | Past | Accepting new patients |
| TMH Physician Associates PLLC | Past | Accepting new patients | |
| Confermed PC | Dermatology | Past | Accepting new patients |
Locations
101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172
4600 Campus Dr
Ste 203
Newport Beach, CA 92660
Phone (617) 259-5933
11 Silver St
Unit 856
Middletown, CT 06457
6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966
1910 Niebuhr St
Brenham, TX 77833
Phone (979) 353-4267
Organizations & group practices 5
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.
-
- Dermatology Physician
- Bellaire, TX
- NPI 1023165438
-
- Internal Medicine Physician
- Irvine, CA
- NPI 1316584709
-
- Dermatology Physician
- Sugar Land, TX
- NPI 1790745198
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1821099953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778340007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68OO QUEBE RD",
"city": "BRENHAM",
"state": "TX",
"postal_code": "77833",
"telephone_number": "713-303-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "CHRISTY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2022-09-06",
"certification_date": "2022-09-03",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "L2758",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "L2758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.