Active NPI
Richard Bruce Goodman, M.D.
- Pulmonary Disease Physician
- Seattle, WA
National Provider Identifier
1184726135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 23878
- Practice address
- 1660 S Columbian Way
VA Puget Sound Medical Center; S-111-Pulm
Seattle, WA 98108-1532 - Phone
- (206) 764-2504
- Fax
- (206) 764-2659
- NPI assigned
- Sep 1, 2006
- Last updated
- Oct 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 23878 | WA | |
| Pulmonary Disease Physician | 207RP1001X | 23878 | WA | Primary |
Addresses
Primary practice location
1660 S Columbian Way
VA Puget Sound Medical Center; S-111-Pulm
Seattle, WA 98108-1532
Mailing address
1660 S Columbian Way
VA Puget Sound Medical Center; S-111-Pulm
Seattle, WA 98108-1532
Phone (206) 764-2504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8116626 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23878 | WA | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1184726135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "VA PUGET SOUND MEDICAL CENTER; S-111-PULM",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-764-2504",
"fax_number": "206-764-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "VA PUGET SOUND MEDICAL CENTER; S-111-PULM",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-764-2504",
"fax_number": "206-764-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "RICHARD",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "23878",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "23878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8116626",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Luci Rose Goodman, LMHC
- Mark Jeffrey Goodman, LMHC
- Mary Goodman, PT
- Mary Kathleen Goodman
- Peter Jason Goodman, MSW
- Stephanie Goodman
- William Seth Goodman, LMHCA
- Ryan M Goodmanson, DO
- Goodmedizen PS Inc (GoodMedizen Acupuncture & Herbs)
- Goodness & Grief Counseling, PLLC (Bethanne Kinmonth Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.