Individual provider Active NPI

Richard Goodgame, MD

  • Gastroenterology Physician
  • Galveston, TX
National Provider Identifier
1316036783
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F5215 Issued in TX
Practice address
301 University Blvd
4.112 John Sealy Hospital
Galveston, TX 77555-0570
Phone
(409) 772-2653
Fax
(409) 772-5462
NPI assigned
Oct 12, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F5215 TX Primary

Addresses

Primary practice location

301 University Blvd
4.112 John Sealy Hospital
Galveston, TX 77555-0570

Mailing address

301 University Blvd
4.112 John Sealy Annex
Galveston, TX 77555-0570
Phone (409) 772-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1316036783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "4.112 JOHN SEALY ANNEX",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550570",
            "telephone_number": "409-772-2653",
            "fax_number": "409-772-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "4.112 JOHN SEALY HOSPITAL",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550570",
            "telephone_number": "409-772-2653",
            "fax_number": "409-772-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODGAME",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.