Brent Gray Woodbury in Fort Madison - Orthopaedic Surgery

Brent Gray Woodbury - NPI 1558412130

Brent Gray Woodbury is a Orthopaedic Surgery in Fort Madison, Iowa. Brent Gray Woodbury practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Brent Gray Woodbury is 1558412130. The last update date is 2011-10-06.

Brent Gray Woodbury's current location address is 5409 Avenue O, Fort Madison, Iowa. You can contact this provider via phone number 3193762134 and fax number 3193762188. The mailing address for Brent Gray Woodbury is 5409 Avenue O, Fort Madison, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Gray Woodbury
Address 5409 Avenue O, Fort Madison, Iowa
Phone Number 3193762134
Fax Number 3193762188
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558412130
Provider Enumeration Date 2007-01-12
Last Updated Date 2011-10-06

Provider Mailing Address Detail

Address 5409 Avenue O
City Fort Madison
State Iowa (IA)
Post Code 526279601
Phone Number 3193762134
Fax Number 3193762188

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 94-06593
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1558412130 IA --
1558412130 IA WELLMARK BLUE CROSS BLUE SHIEL

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FAQs about Brent Gray Woodbury

What is the unique identifier code issued to Brent Gray Woodbury by the Centers for Medicare & Medicaid Services (CMS)?

The Brent Gray Woodbury has been assigned the NPI (National Provider Identifier) 1558412130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Brent Gray Woodbury located?

The Brent Gray Woodbury is located at 5409 Avenue O, Fort Madison, IA 526279601.

What is Brent Gray Woodbury's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brent Gray Woodbury is Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207X00000X.

On what date did the Brent Gray Woodbury receive the assignment of its 1558412130 from the Centers for Medicare & Medicaid Services?

The Brent Gray Woodbury was issued its 1558412130 by the Centers for Medicare & Medicaid Services on 2007-01-12.

As of what date were the details related to Brent Gray Woodbury most recently updated or revised?

The information pertaining to Brent Gray Woodbury, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-06.

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