Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cannon James Woodbury

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154909018

Cannon James Woodbury is an Emergency Medicine in Dallas, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2021, 5 years ago. Practices with Concord Medical Group of Texas PLLC, a 317-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Dallas, TX

No coordinates on file. Search this address in Google Maps

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence U7082 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154909018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Concord Medical Group Of Texas Pllc — 317 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas