Active NPI
Goat Medical LLC
- Internal Medicine Physician
- Richland, WA
National Provider Identifier
1114894987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GOAT MEDICAL LLC
- Practice address
- 3121 Leslie Rd Ste 122
Richland, WA 99352-8754 - Phone
- (509) 396-3242
- NPI assigned
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad Tymchuk, MD
- Title
- Physician/ Owner
- Phone
- (509) 820-7845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3121 Leslie Rd Ste 122
Richland, WA 99352-8754
Mailing address
3121 Leslie Rd Ste 122
Richland, WA 99352-8754
Phone (509) 820-7845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3121 Leslie Rd
Ste 122
Richland, WA 99352
Phone (509) 396-3242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1114894987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 LESLIE RD STE 122",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528754",
"telephone_number": "509-820-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 LESLIE RD STE 122",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528754",
"telephone_number": "509-396-3242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOAT MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-17",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "TYMCHUK",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "PHYSICIAN/ OWNER",
"authorized_official_telephone_number": "509-820-7845",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.