NPIMap

Individual provider Active NPI

William E. Goolsby, D.C.

  • Rehabilitation Chiropractor
  • Aubrey, TX
National Provider Identifier
1285711804
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
7850 Issued in TX
Practice address
26743 US Highway 380 E Ste 100
Aubrey, TX 76227-8309
Phone
(972) 347-3400
Fax
(972) 675-7742
NPI assigned
Nov 1, 2006
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7850 TX
Rehabilitation Chiropractor 111NR0400X 7850 TX Primary

Addresses

Primary practice location

26743 US Highway 380 E Ste 100
Aubrey, TX 76227-8309

Mailing address

26743 US Highway 380 E Ste 100
Aubrey, TX 76227-8309
Phone (972) 347-3400

Other identifiers 3

IdentifierTypeStateIssuer
0030CZOtherTXBCBS GROUP NUMBER
5080756OtherTXAETNA PROVIDER NUMBER
87570SOtherTXBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000662 TX Practitioner - Chiropractic 4385542349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7850TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Integrated Healthcare, PLLC Rehabilitation CurrentSince Nov 1, 2021 Accepting new patients
W.E.G. Health Corp. Chiropractor PastSince Apr 27, 1998 Accepting new patients
Healthsource of Frisco LLC Chiropractor Past Accepting new patients

Locations

26743 US Highway 380 E
Ste 100
Aubrey, TX 76227
Phone (972) 347-3400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1285711804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26743 US HIGHWAY 380 E STE 100",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278309",
            "telephone_number": "972-347-3400",
            "fax_number": "972-675-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26743 US HIGHWAY 380 E STE 100",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278309",
            "telephone_number": "972-347-3400",
            "fax_number": "972-675-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "WILLIAM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7850",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "7850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0030CZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5080756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "87570S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.