Individual provider Active NPI

Goldie Beth Stands-Over-Bull, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1215499686
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61305614 Issued in WA
Practice address
1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone
(214) 941-1050
Fax
(214) 946-4738
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61305614 WA Primary

Addresses

Primary practice location

1283 Record Crossing Rd
Dallas, TX 75235-6001

Mailing address

1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone (214) 941-1050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220809000993 TX Practitioner - Family Practice 1850626854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Yale University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Native HealthGroup PAC ID 6002908837, 2 clinicians

Practice addresses (Care Compare)

1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone (214) 941-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61305614WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington CurrentSince Aug 1, 2022 Accepting new patients
Tulalip Tribes of Washington Current Accepting new patients
Texas Native Health CurrentSince Jan 16, 2025 Accepting new patients
Tulalip Tribes of Washington CurrentSince Aug 1, 2022 Accepting new patients

Locations

1283 Record Crossing Rd
Dallas, TX 75235
Phone (214) 941-1050

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

6406 Marine Dr
Ste A
Tulalip, WA 98271

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cdf42bb0-51f6-4504-b5a7-cccb830ef48f/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1215499686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050",
            "fax_number": "214-946-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDS-OVER-BULL",
        "first_name": "GOLDIE",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61305614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.