Individual provider Active NPI

Bryan John Goss, ACNP

  • Nurse Practitioner
  • Bridgeton, MO
National Provider Identifier
1164970364
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2025039856 Issued in MO
Practice address
12303 Depaul Dr
Bridgeton, MO 63044-2512
Phone
(314) 344-6000
NPI assigned
Sep 15, 2016
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025039856 MO Primary
Family Nurse Practitioner 363LF0000X 107699 WV
Family Nurse Practitioner 363LF0000X ARNP9374626 FL
Gerontology Nurse Practitioner 363LG0600X 107699 WV
Emergency Clinical Nurse Specialist 364SE0003X 107699 WV

Addresses

Primary practice location

12303 Depaul Dr
Bridgeton, MO 63044-2512

Mailing address

12303 Depaul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1330

Other practice location 2

922 E Call St
Starke, FL 32091-3616
Phone (904) 368-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, VA, NY, CT, AL, MO7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20161229001342 FL Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 4 organizations
I20210430000239 GA Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 1 organization
I20230307002778 VA Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 1 organization
I20230322001542 NY Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 2 organizations
I20231102002459 CT Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 1 organization
I20250418001535 AL Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 1 organization
I20260127004077 MO Practitioner - Nurse Practitioner 6103713946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Practice addresses (Care Compare)

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2025039856MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Medical Solutions, LLC CurrentSince Mar 15, 2020 Accepting new patients
River Hospital, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Feb 1, 2021 Accepting new patients
Critical Care Physician of New York PC Nurse Practitioner CurrentSince Sep 20, 2023 Accepting new patients
Sound Physicians Intensivists of Georgia PC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Cogent Healthcare of Decatur, LLC Nurse Practitioner CurrentSince Apr 15, 2025 Accepting new patients
Appleton Intensivist Group, LLC CurrentSince Jul 15, 2020 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
W4P LLC CurrentSince Feb 15, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Dec 1, 2025 Accepting new patients
River Hospital, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS CurrentSince Oct 19, 2023 Accepting new patients
Cogent Healthcare of Georgia PC Nurse Practitioner Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

3100 E Fletcher Ave
#C
Tampa, FL 33613

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bgoss296371@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1164970364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1330",
            "fax_number": "304-598-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 E Call St",
            "address_purpose": "LOCATION",
            "city": "Starke",
            "state": "FL",
            "postal_code": "320913616",
            "country_code": "US",
            "telephone_number": "904-368-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "BRYAN",
        "middle_name": "JOHN",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025039856",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107699",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9374626",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "107699",
            "primary": false
        },
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "WV",
            "license": "107699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.