Scott Douglas Goble, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

K1450 Issued in TX

Practice address

2215 E Villa Maria Rd
#130
Bryan, TX 77802-2548

Phone

(979) 774-0808

Fax

(979) 776-3028

NPI assigned

Apr 7, 2006

Last updated

Jun 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Specialty

Radiation Oncology

Education

University of Louisville School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgoble464702@direct.stlukeshealth.org

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

• St. Joseph Regional Health Center

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1669557179
  Medicare reassignment Care Compare group NPD
• St Joseph Regional Health Center

  dba St Joseph Franklin Family Medicine Clinic

  • Rural Health Clinic/Center
  • Franklin, TX
  • NPI 1780768911
  NPD
• College Station Hospital LP

  dba College Station Medical Center

  • Rehabilitation Hospital Unit
  • College Station, TX
  • NPI 1548286297
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  dba CHI St. Joseph Health College Station Hospital

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1154384584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E VILLA MARIA RD",
            "address_2": "#130",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022548",
            "telephone_number": "979-774-0808",
            "fax_number": "979-776-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E VILLA MARIA RD",
            "address_2": "#130",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022548",
            "telephone_number": "979-774-0808",
            "fax_number": "979-776-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLE",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "K1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042666001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Girling, RBT
• Gisela Lin Counseling and Consultation Services PLLC (Gisela Lin Counseling and Consultat)
• Gabriella Givilancz
• John Glenn Jr., M.D.
• Tajanae Glover
• Jeffrey Dean Goddard, MD
• Goldstar Healthcare LLC
• Garrett Gomez, MD
• Rolando Gonzales Gomez Jr., PA-C
• Kacie Wallace Gonzales

• Radiation Oncology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.

Verify at the official NPI Registry.