Brandon Edwin Gough, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

44644 Issued in AZ

Practice address

20401 N 73Rd St Ste 155
Scottsdale, AZ 85255-4149

Phone

(602) 359-3088

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25563/brand/1/csg/1/fhir/r4
• Direct secure messaging: brandon.gough.1@25563.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gough Surgical PLLC

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1003455197
  NPD Authorized official
• Gough Hip and Knee

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1386477925
  NPD
• Summit Physician Group LLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1770455974
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1053537779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554149",
            "telephone_number": "602-359-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554149",
            "telephone_number": "602-359-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 E Bell Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85032",
            "country_code": "US",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "BRANDON",
        "middle_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "6620",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "44644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Harry Gottlieb, LCSW
• Michael Bruce Gotway, MD
• Kemma Grace Goudreau, PT, DPT
• Gough Hip and Knee
• Gough Surgical PLLC
• Diane Prince Goula, L.C.S.W.
• Debra Sue Goulding, FNP
• Krista Anne Goulding, M.D.
• Marguerite Breanne Gourley, LMSW
• Ashu Kumar Goyle, DO

• Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.