DR. ROBERT BROWN WOOLLEY MD NPI 1104995109

NPI Information

  • NPI: 1104995109
  • Provider Name: DR. ROBERT BROWN WOOLLEY, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1055 N 300 W STE 210
    PROVO, UT
    ZIP 84604
  • Phone: (801) 357-0280

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NPI Details

DR. Robert Brown Woolley, MD is a nephrology internal medicine in Provo, UT with 25 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Robert Brown Woolley, MD NPI is 1104995109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1055 N 300 W STE 210
PROVO, UT
ZIP 84604-374
Phone: (801) 357-0280
Fax: (801) 377-2810

The NPI 1104995109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 2/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology01057426AINDIANANo
22083A0100XPreventive MedicineAerospace Medicine01057426AINDIANANo
3207RN0300XInternal MedicineNephrology269743-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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