Kerry C Woodroof, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101031448 Issued in VA

Practice address

412 N Bridge St Ste 2
Bedford, VA 24523-1981

Phone

(540) 586-1774

Fax

(540) 586-1774

NPI assigned

Feb 21, 2007

Reactivated

Jul 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1851436166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N BRIDGE ST STE 2",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231981",
            "telephone_number": "540-586-1774",
            "fax_number": "540-586-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N BRIDGE ST STE 2",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231981",
            "telephone_number": "540-586-1774",
            "fax_number": "540-586-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODROOF",
        "first_name": "KERRY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-07-09",
        "deactivation_date": "2012-01-12",
        "reactivation_date": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101031448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Willis, DC
• Courtney Wills
• Lori Anne Winesett, LPC
• Rudolf William Wolf, D.D.S.
• Makayla Marie Woodford, ED.S.
• Sheri C Worsham, OTR/L
• Gaeun You
• Karen A Zylstra, PHYSICAL THERAPIST

• Ophthalmology Physician in Bedford, VA
• Providers in Bedford, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.