Bruce Michael Goodson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38068 Issued in NC

Practice address

1251 16TH St NE
Hickory, NC 28601-4261

Phone

(828) 322-7700

Fax

(828) 256-6720

NPI assigned

Mar 29, 2006

Last updated

Aug 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• DLP Frye Medical Group LLC

  dba FryeCare Lincolnton Medical Group

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment NPD
• DLP Frye Medical Group LLC

  dba FryeCare Behavioral Health

  • Psychologist
  • Hickory, NC
  • NPI 1215475314
  NPD
• DLP Frye Medical Group LLC

  dba FryeCare Family Medicine Watauga

  • Family Medicine Physician
  • Boone, NC
  • NPI 1083152961
  NPD (past)
• Fryecare Urgent Care, PLLC

  dba FryeCare Urgent Care - Hudson

  • Urgent Care Clinic/Center
  • Hudson, NC
  • NPI 1235189473
  NPD (past)
• Tenet Unifour Urgent Care Center LLC

  dba FryeCare Urgent Care - Conover

  • Urgent Care Clinic/Center
  • Conover, NC
  • NPI 1528055621
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1366403578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11223",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286036402",
            "telephone_number": "828-322-7700",
            "fax_number": "828-256-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 16TH ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014261",
            "telephone_number": "828-322-7700",
            "fax_number": "828-256-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "BRUCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny S Gomes, DO
• Karley Gonzales
• Anne Ricardo Gonzalez, MD
• Goodman & Brooks Family Practice Associates, PA
• Ida Louise Goodnight, CRNA
• Amber Michelle Goodspeed
• Charles James Goodwin, DDS
• Tammie Renea Schwedler Goodwin, LPCA
• Gordon & Scheller, DDS, PLLC
• Allison Beth Gosda, L.P.C.

• Family Medicine Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.