DR. BRIAN MICHAEL WOO DDS MD NPI 1558579144

NPI Information

  • NPI: 1558579144
  • Provider Name: DR. BRIAN MICHAEL WOO, DDS, MD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 290 NORTH WAYTE LANE
    FRESNO, CA
    ZIP 93701
  • Phone: (559) 459-5120

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NPI Details

DR. Brian Michael Woo, DDS, MD is an oral maxillofacial surgery in Fresno, CA with 19 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Brian Michael Woo, DDS, MD NPI is 1558579144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

290 NORTH WAYTE LANE
FRESNO, CA
ZIP 93701-324
Phone: (559) 459-5120

The NPI 1558579144 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).

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, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Biopsy of mouth (HCPCS:40808)
  • Exam of the nose and throat using an endoscope (HCPCS:92511)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/18/2007 and was last updated on 3/7/2023.

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
1122300000XDentist50017CALIFORNIANo
21223P0106XDentistOral and Maxillofacial Pathology50017CALIFORNIANo
31223S0112XDentistOral and Maxillofacial Surgery50017CALIFORNIANo
42086S0122XSurgeryPlastic and Reconstructive SurgeryA107428CALIFORNIANo
52086S0127XSurgeryTrauma SurgeryA107428CALIFORNIANo
6204E00000XOral & Maxillofacial SurgeryA107428CALIFORNIAYes

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
1A107428OTHERCALIFORNIAMEDICAL LICENSE
2GA 1484OTHERCALIFORNIAGENERAL ANESTHESIA LICENSE
350017OTHERCALIFORNIADENTAL LICENSE

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: 3/30/2025

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