Douglas Brian Woodruff, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0015413 Issued in MD

Practice address

4419 Falls Road
Suite E
Baltimore, MD 21211-1226

Phone

(410) 889-5455

Fax

(410) 366-0651

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 4, 2020 through Nov 4, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Douglas B Woodruff MD PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1386769149
  NPD (past) Authorized official

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1972779023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 FALLS ROAD",
            "address_2": "SUITE E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111226",
            "telephone_number": "410-889-5455",
            "fax_number": "510-366-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 FALLS ROAD",
            "address_2": "SUITE E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111226",
            "telephone_number": "410-889-5455",
            "fax_number": "410-366-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0015413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Woodman, MD
• Woodmoor Pharmacy and Medical Supply. (Woodmoor Pharmacy)
• Sandra Ann Woodring, CR-NP
• Taylor Woodroof, PHARM. D.
• Amelita Woodruff, MD
• Victoria Ann Woodruff
• Alayna K Woods, LCSW-C
• Anne B Woods, C.N.M.
• Arden Taylor Woods, DO
• Ashanti Woods, MD

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.