Active NPI
Michael S. Gossman, M.S., DABR
- Radiological Physics Physician
- New Albany, IN
National Provider Identifier
1386864551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- License
- FMP00010498
- Practice address
- 505 Beharrell Ave
New Albany, IN 47150-1528 - Phone
- (812) 557-0234
- NPI assigned
- Apr 27, 2007
- 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 |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | FMP00010498 | TX | Primary |
Addresses
Primary practice location
505 Beharrell Ave
New Albany, IN 47150-1528
Mailing address
505 Beharrell Ave
New Albany, IN 47150-1528
Phone (812) 557-0234
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FMP00010498 | TX | MD | Radiological Physics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1386864551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 BEHARRELL AVE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471501528",
"telephone_number": "812-557-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BEHARRELL AVE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471501528",
"telephone_number": "812-557-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSMAN",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "M.S., DABR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "TX",
"license": "FMP00010498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.