Bernardo Haddock Lobo Goulart, MD, MS

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD 00048618 Issued in WA

Practice address

825 Eastlake Ave E
Seattle, WA 98109-4405

Phone

(206) 667-2778

Fax

(206) 288-1435

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1184734501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-667-2778",
            "fax_number": "206-288-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EASTLAKE AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094405",
            "telephone_number": "206-667-2778",
            "fax_number": "206-288-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULART",
        "first_name": "BERNARDO",
        "middle_name": "HADDOCK LOBO",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD 00048618",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD 00048618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0277110",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184734501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Matthew Goudreau, LMSW
• Hisam Said Goueli, M.D.
• Frances Marie Gough, M.D.
• Kylie Jo Gough
• Alexander Gougoutas, MD
• Hannah Lee Gould
• Jennalee Lynn Gould, LMHC
• Katina Joy Gould, LMHC
• Robert Joseph Gould, MD
• Ryan K Gould, M.D.

• Medical Oncology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.