Brett W Goglin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD038577E Issued in PA

Practice address

10058 S Mountain Rd
South Mountain, PA 17261-0900

Phone

(717) 749-3121

NPI assigned

Sep 7, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1306949920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10058 S MOUNTAIN RD",
            "city": "SOUTH MOUNTAIN",
            "state": "PA",
            "postal_code": "172610900",
            "telephone_number": "717-749-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 S MOUNTAIN RD",
            "city": "SOUTH MOUNTAIN",
            "state": "PA",
            "postal_code": "172610900",
            "telephone_number": "717-749-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGLIN",
        "first_name": "BRETT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038577E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha A Bhargave, MD
• Michael A Caesar, DPM
• Cornell Abraxas Group, Inc. (Cornell Companies, Inc.)
• Alan Feldberg, PH.D.
• Martin Hudzinski, M.D.
• Pennsylvania Department of Human Services (South Mountain Restoration Center)
• Ann M Shemo, DO
• Janardan P Sinha, MD

• Family Medicine Physician in South Mountain, PA
• Providers in South Mountain, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.