Active NPI
Anthony Allen Goodman, M.D.
- Surgery Physician
- Bozeman, MT
National Provider Identifier
1043465313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7557
- Practice address
- 2555 Deer Creek Dr
Bozeman, MT 59715-7728 - Phone
- (406) 585-5452
- NPI assigned
- Nov 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7557 | MT | Primary |
Addresses
Primary practice location
2555 Deer Creek Dr
Bozeman, MT 59715-7728
Mailing address
2555 Deer Creek Dr
Bozeman, MT 59715-7728
Phone (406) 585-5452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7557 | MT | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227916800000",
"number": "1043465313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 DEER CREEK DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597157728",
"telephone_number": "406-585-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 DEER CREEK DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597157728",
"telephone_number": "406-585-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ANTHONY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-29",
"last_updated": "2008-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "7557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.