Brent Allen Woodson (NPI# 1710133491, PAC ID# 2668694308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1710133491 |
| PAC ID by PECOS | 2668694308 |
| Professional Enrollment ID | I20141112001371 |
| Full Name | Brent Allen Woodson |
| Organization Legal Name | COMMUNITY MEDICAL GROUP LLC |
| Address |
2373 G Rd Grand Junction CO 81505-1003 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2014 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 1052612785 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060054 | COMMUNITY HOSPITAL |
| 060023 | ST MARYS MEDICAL CENTER |
| 060075 | VALLEY VIEW HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 | 9703847707 | VALLEY VIEW HOSPITAL ASSOCIATION |
| 2373 G Rd, Grand Junction, CO 81505-1003 | COMMUNITY MEDICAL GROUP LLC | |
| 607 28, Grand Junction, CO 81506-6018 | 9702433300 | COMMUNITY MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COMMUNITY MEDICAL GROUP LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Magrath Fulmer | Family Medicine | Community Medical Group LLC | 551 Kokopelli Blvd, Fruita, CO 81521-6305 |
| Travis Michael Averitt | Family Medicine | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Jennifer June Crowe | Nurse Practitioner | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Heather Tobin | Nurse Practitioner | Community Medical Group LLC | 603 28, Grand Junction, CO 81506-6019 |
| Ryan Goodman | Physician Assistant | Community Medical Group LLC | 1060 Orchard Ave, Unit O, Grand Junction, CO 81501-2997 |
| Annette Lynn Johnson | Nurse Practitioner | Community Medical Group LLC | 1060 Orchard Ave N, Community Care of The Grand Valley, Grand Junction, CO 81501-2997 |
| David Johansen | Internal Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Katelyn Joy Weaver | Nurse Practitioner | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Morgan Irion | Family Medicine | Community Medical Group LLC | 603 28, Grand Junction, CO 81506-6019 |
| Kimberly Marie Hoyt | Physician Assistant | Community Medical Group LLC | 1060 Orchard Ave, Unit O, Grand Junction, CO 81501-2997 |
| Street Address |
2373 G RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81505-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Allen Rexroth Jr. | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Katelyn Joy Weaver | Nurse Practitioner | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Kameron Watson | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Brad A Baldwin | General Surgery | Surgical Associates of Western Colorado, P.C. | 2373 G Rd, Suite 280, Grand Junction, CO 81505-1006 |
| Duane Lee Fenton | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Daniela J Schupp | General Surgery | Community Medical Group LLC | 2373 G Rd, Suite 280, Grand Junction, CO 81505-1006 |
| Kara A Danner | Obstetrics/gynecology | Community Medical Group LLC | 2373 G Rd, Suite 240, Grand Junction, CO 81505-1006 |
| A'lanne Conrad | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Megan Charlene Sisk | Pulmonary Disease | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Robert S Brooks | Cardiac Surgery | Community Medical Group LLC | 2373 G Rd, Suite 280, Grand Junction, CO 81505-1006 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk D Clifford | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Daniel Craig Meister | Physical Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Mitchell T Copeland | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Joshua David Thun | Podiatry | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Christine M Zander | Occupational Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Julia Bricknell | Occupational Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Louis S Stryker | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Richard Alan Knackendoffel | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| James C Rose | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Jason Blain Bell | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Find all physicians in zip 81505 | |||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | GRAND JUNCTION + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Brent Allen Woodson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.