Active NPI
Linda Lee Woodall, RT
- Body Imaging Physician
- Brooksville, FL
National Provider Identifier
1982121356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- CRT16587
- Practice address
- 20158 Cortez Blvd
Brooksville, FL 34601-3832 - Phone
- (352) 544-2333
- Fax
- (352) 544-2303
- NPI assigned
- Aug 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | CRT16587 | FL | Primary |
Addresses
Primary practice location
20158 Cortez Blvd
Brooksville, FL 34601-3832
Mailing address
12423 Drysdale St
Spring Hill, FL 34609-4200
Phone (352) 428-0164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16587 | Other | FL | DEPARTMENT OF HEALTH |
Other names 1
- Linda Bradley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT16587 | FL | MD | Body Imaging Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1982121356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12423 DRYSDALE ST",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346094200",
"telephone_number": "352-428-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20158 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013832",
"telephone_number": "352-544-2333",
"fax_number": "352-544-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODALL",
"first_name": "LINDA",
"middle_name": "LEE",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-27",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "FL",
"license": "CRT16587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "16587",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "BRADLEY",
"credential": "RT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.