Individual provider Active NPI

Michele L. Goodbread, P.A.

  • Medical Physician Assistant
  • Erie, PA
National Provider Identifier
1073796108
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0008677 Issued in CO
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

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1516442MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080214000094 PA Practitioner - Physician Assistant 0446333421 Reassigns benefits to 1 organization
I20260210002142 CO Practitioner - Physician Assistant 0446333421 Reassigns benefits to 1 organization

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 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1774TNMDOptometrist
023176NYMDMassage Therapist
PA.0008677COMDMedical Physician Assistant
OA006782PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Feb 16, 2026 Accepting new patients
Medexpress Urgent Care, PC - Tennessee Past Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 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.

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

Verify at the official NPI Registry.