Active NPI
Robert Scot Woodrum, M.D.
- Specialist
- Chapel Hill, NC
National Provider Identifier
1972590701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35789
- Practice address
- 205 Sage Rd
Suite 100
Chapel Hill, NC 27514-6995 - Phone
- (919) 942-4173
- Fax
- (919) 933-3473
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35789 | NC | Primary |
Addresses
Primary practice location
205 Sage Rd
Suite 100
Chapel Hill, NC 27514-6995
Mailing address
205 Sage Rd
Suite 100
Chapel Hill, NC 27514-6995
Phone (919) 942-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160204001634 | NC | Practitioner - Pediatric Medicine | 9436349701 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35789 | NC | MD | Specialist |
Interoperability endpoints
- robertwoodrum@chp.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972590701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SAGE RD",
"address_2": "SUITE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275146995",
"telephone_number": "919-942-4173",
"fax_number": "919-933-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SAGE RD",
"address_2": "SUITE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275146995",
"telephone_number": "919-942-4173",
"fax_number": "919-933-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUM",
"first_name": "ROBERT",
"middle_name": "SCOT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "35789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.