DR. BRUCE WOODALL MD NPI 1588667182

NPI Information

  • NPI: 1588667182
  • Provider Name: DR. BRUCE WOODALL, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 801 W MAIN STREET
    GUN BARREL CITY, TX
    ZIP 75156
  • Phone: (903) 887-1011

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NPI Details

DR. Bruce Woodall, MD is a family medicine in Gun Barrel City, TX with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Bruce Woodall, MD NPI is 1588667182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1989

The provider's business location address is:

801 W MAIN STREET
GUN BARREL CITY, TX
ZIP 75156-312
Phone: (903) 887-1011
Fax: (903) 887-9441

The NPI 1588667182 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, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/27/2005 and was last updated on 5/7/2024.

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
1207Q00000XFamily MedicineM9450IDAHONo
2207Q00000XFamily MedicineP3269TEXASYes

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
176273OTHERIDAHOBLUE CROSS OF ID
28439838MEDICAIDWASHINGTON
3000010152435OTHERIDAHOREGENCE BS OF ID
4302470501MEDICAIDTEXAS
58DK990OTHERTEXASBCBS OF TX
6807296400MEDICAIDIDAHO
70204370OTHERWASHINGTONWA LABOR & INDUSTRIES
8601417300OTHERDEEIOC

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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