Active NPI
Goodman & Brooks Family Practice Associates, PA
- Family Medicine Physician
- Hickory, NC
National Provider Identifier
1235229220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012JE | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.