Organization Active NPI

Goodman & Brooks Family Practice Associates, PA

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1235229220
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOODMAN & BROOKS FAMILY PRACTICE ASSOCIATES, PA
Practice address
2820 16TH St NE
Hickory, NC 28601-9600
Phone
(828) 304-0840
Fax
(828) 304-0943
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mrs. Lori Lingle Austin
Title
Practice Manager
Phone
(828) 304-0840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2820 16TH St NE
Hickory, NC 28601-9600

Mailing address

2820 16TH St NE
Hickory, NC 28601-9600
Phone (828) 304-0840

Other identifiers 1

IdentifierTypeStateIssuer
89012JEMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1235229220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 16TH ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019600",
            "telephone_number": "828-304-0840",
            "fax_number": "828-304-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 16TH ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019600",
            "telephone_number": "828-304-0840",
            "fax_number": "828-304-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN & BROOKS FAMILY PRACTICE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LINGLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-304-0840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012JE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.