Active NPI
Michele L. Goodbread, P.A.
- Medical Physician Assistant
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0008677
- Practice address
- 4247 W Ridge Rd Ste 101
Erie, PA 16506-1746 - Phone
- (814) 835-2580
- Fax
- (814) 835-2590
- NPI assigned
- Dec 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0008677 | CO | Primary |
| Medical Physician Assistant | 363AM0700X | 1774 | TN | |
| Medical Physician Assistant | 363AM0700X | MA053005 | PA | |
| Medical Physician Assistant | 363AM0700X | OA006782 | PA |
Addresses
Primary practice location
4247 W Ridge Rd Ste 101
Erie, PA 16506-1746
Mailing address
4247 W Ridge Rd
Erie, PA 16506-1746
Phone (814) 835-2580
Other practice location 1
2087 S Federal Blvd
Denver, CO 80219-5429
Phone (720) 463-6754
Other practice location 2
1601 2nd St Ste 108
San Rafael, CA 94901-2701
Phone (276) 525-0089
Other practice location 3
4950 Buffalo Rd
Erie, PA 16510-2304
Phone (814) 898-2576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516442 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2087 S Federal Blvd
Denver, CO 80219-5429
Phone (720) 463-6754
4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1774 | TN | MD | Optometrist |
| 023176 | NY | MD | Massage Therapist |
| PA.0008677 | CO | MD | Medical Physician Assistant |
| OA006782 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Colorado, PLLC | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Tennessee | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Locations
4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010
2087 S Federal Blvd
Denver, CO 80219
Phone (720) 463-6754
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1134868599
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1255047288
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
-
- Urgent Care Clinic/Center
- Bristol, TN
- NPI 1689931446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1073796108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4247 W RIDGE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165061746",
"telephone_number": "814-835-2580",
"fax_number": "814-835-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4247 W RIDGE RD STE 101",
"city": "ERIE",
"state": "PA",
"postal_code": "165061746",
"telephone_number": "814-835-2580",
"fax_number": "814-835-2590"
}
],
"practiceLocations": [
{
"address_1": "2087 S Federal Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802195429",
"country_code": "US",
"telephone_number": "720-463-6754",
"fax_number": "720-640-3312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 2nd St Ste 108",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949012701",
"country_code": "US",
"telephone_number": "276-525-0089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4950 Buffalo Rd",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165102304",
"country_code": "US",
"telephone_number": "814-898-2576",
"fax_number": "814-898-8790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODBREAD",
"first_name": "MICHELE",
"middle_name": "L.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0008677",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1774",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053005",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "OA006782",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1516442",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.