Active NPI
Robert J. Goode III, D.C.
- Chiropractor
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002366A
- Practice address
- 4211 E 3Rd St
Bloomington, IN 47401-5550 - Phone
- (812) 323-0700
- NPI assigned
- Feb 4, 2008
- Last updated
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002366A | IN | Primary |
Addresses
Primary practice location
4211 E 3Rd St
Bloomington, IN 47401-5550
Mailing address
110 E 10TH St
Bloomington, IN 47408-3321
Phone (812) 323-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 E 10TH St
Bloomington, IN 47408-3321
Phone (812) 219-3360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goode Chiropractic Services LLC | Chiropractor | Current | Accepting new patients |
| Priority 1 Medical of Lawrence PC | Chiropractor | Past | Accepting new patients |
Locations
110 E 10th St
Bloomington, IN 47408
Phone (812) 323-0700
3901 E 3rd St
Bloomington, IN 47401
Phone (812) 323-0700
4211 E 3rd St
Bloomington, IN 47401
Phone (317) 735-6001
Organizations & group practices 2
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.
-
- Chiropractor
- Bloomington, IN
- NPI 1013168228
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1770755670
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1366620254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 10TH ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474083321",
"telephone_number": "812-323-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 E 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015550",
"telephone_number": "812-323-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002366A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.