Active NPI
Grayson Goldman, DO
- Emergency Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102205628
- Practice address
- 5801 Bremo Rd
Richmond, VA 23226-1907 - Phone
- (804) 285-2011
- NPI assigned
- Apr 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102205628 | VA | Primary |
Addresses
Primary practice location
5801 Bremo Rd
Richmond, VA 23226-1907
Mailing address
5801 Bremo Rd
Richmond, VA 23226-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205628 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Miners Medical Center LLC | Current | Accepting new patients | |
| Nason Physician Practices LLC | Emergency Medicine | Current | Accepting new patients |
| Nason Physician Practices LLC | Emergency Medicine | Current | Accepting new patients |
| DLP Conemaugh Miners Medical Center LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1086 Franklin St
#M7
Johnstown, PA 15905
Phone (615) 920-7334
105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141
104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455
601 Watkins Centre Pkwy
Midlothian, VA 23114
Phone (804) 594-2100
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1629722129
-
- Emergency Medicine Physician
- Hastings, PA
- NPI 1629471768
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Obstetrics & Gynecology Physician
- Roaring Spring, PA
- NPI 1306236609
Emergency Medicine
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Critical Access Hospital
- Hastings, PA
- NPI 1184620486
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1487060455
-
- Emergency Medicine Physician
- Roaring Spring, PA
- NPI 1346752284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1174933253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 BREMO RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 BREMO RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261907",
"telephone_number": "804-285-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "GRAYSON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102205628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.