DR. BEVERLY TUCKER WOODSON MD NPI 1366494858

NPI Information

  • NPI: 1366494858
  • Provider Name: DR. BEVERLY TUCKER WOODSON, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9200 W WISCONSIN AVE
    DEPARTMENT OF OTOLARYNGOLOGY
    MILWAUKEE, WI
    ZIP 53226
  • Phone: (414) 805-5580

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NPI Details

DR. Beverly Tucker Woodson, MD is an otolaryngology in Milwaukee, WI with 42 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Beverly Tucker Woodson, MD NPI is 1366494858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

9200 W WISCONSIN AVE
DEPARTMENT OF OTOLARYNGOLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-5580
Fax: (414) 805-8324

The NPI 1366494858 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Sleep study including heart rate, breathing, airflow, and effort (HCPCS:95806)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Sleep study in sleep lab (6 years or older) (HCPCS:95810)
  • Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS:95811)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/8/2023.

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
1207Y00000XOtolaryngology29400WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002000139OTHERHUMANA
21366494858MEDICAIDWISCONSIN
3040006716OTHERRAILROAD MEDICARE
431413100MEDICAIDWISCONSIN

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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