Individual provider Active NPI

Neal D Goldman, MD

  • Facial Plastic Surgery Physician
  • Boone, NC
National Provider Identifier
1376527754
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
9901411 Issued in NC
Practice address
717 Greenway Rd Ste a
Boone, NC 28607-4991
Phone
(828) 278-9230
Fax
(828) 263-5686
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 9901411 NC Primary
Otolaryngology Physician 207Y00000X 9901411 NC

Addresses

Primary practice location

717 Greenway Rd Ste a
Boone, NC 28607-4991

Mailing address

717 Greenway Rd Ste a
Boone, NC 28607-4991
Phone (828) 278-9230

Other practice location 1

6318 Jessie Ln
Clemmons, NC 27012-9887
Phone (336) 245-9595

Other identifiers 4

IdentifierTypeStateIssuer
7052087OtherAETNA
12332OtherBCBS
31887OtherPARTNERS
91536OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100320000069 NC Practitioner - Plastic and Reconstructive Surgery 8426183047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

717 Greenway Rd
Suite a
Boone, NC 28607-4991
Phone (828) 278-9230

Hospital & facility affiliations

  • Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0141NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Goldman Center for Facial Plastic Surgery PLLC Facial Plastic Surgery CurrentSince Dec 5, 2012 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

717 Greenway Rd
Ste A
Boone, NC 28607
Phone (828) 278-9230

6318 Jessie Ln
Clemmons, NC 27012
Phone (336) 448-3060

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1376527754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREENWAY RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074991",
            "telephone_number": "828-278-9230",
            "fax_number": "828-263-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GREENWAY RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074991",
            "telephone_number": "828-278-9230",
            "fax_number": "828-263-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6318 Jessie Ln",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129887",
            "country_code": "US",
            "telephone_number": "336-245-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "NEAL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NC",
            "license": "9901411",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "9901411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7052087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "31887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "91536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.