Individual provider Active NPI

Bradford M Gould, M.D.

  • Family Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1396895033
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050712 Issued in GA
Practice address
2878 Five Forks Trickum Rd
2A
Lawrenceville, GA 30044-5896
Phone
(678) 344-8700
Fax
(678) 344-8600
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050712 GA Primary

Addresses

Primary practice location

2878 Five Forks Trickum Rd
2A
Lawrenceville, GA 30044-5896

Mailing address

2878 Five Forks Trickum Rd # 2a
Lawrenceville, GA 30044-5896
Phone (678) 344-8700

Other practice location 1

4225 S Lee St Ste B
Buford, GA 30518-3872
Phone (770) 559-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20051006000847 GA Practitioner - Family Practice 6406871615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians
Grupo Medico de Georgia, LLCGroup PAC ID 2062821887, 2 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

5955 Jimmy Carter Blvd
Suite 100
Norcross, GA 30071-4608
Phone (770) 831-9202

6667 Vernon Woods Dr
Suite a 19
Sandy Springs, GA 30328-3215
Phone (404) 252-3500

Hospital & facility affiliations

  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050712GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico de Georgia, LLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Oct 29, 2021 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jan 30, 2023 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Oct 29, 2021 Accepting new patients
Grupo Medico de Georgia, LLC Family Medicine PastSince Dec 14, 2025 Accepting new patients

Locations

4225 S Lee St
Ste B
Buford, GA 30518
Phone (770) 559-3555

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

1060 Veterans Memorial Hwy SW
Ste 200
Mableton, GA 30126
Phone (770) 672-6903

5955 Jimmy Carter Blvd
Ste 100
Norcross, GA 30071
Phone (770) 559-3555

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

6667 Vernon Woods Dr
Ste A19
Sandy Springs, GA 30328
Phone (404) 252-3500

2721 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 444-9494

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: grupomedico.bradfordmgould@160619.advancedmd-direct.com
  • Direct secure messaging: bradford.gould.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1396895033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD # 2A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700",
            "fax_number": "678-344-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD",
            "address_2": "2A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700",
            "fax_number": "678-344-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 S Lee St Ste B",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183872",
            "country_code": "US",
            "telephone_number": "770-559-3555",
            "fax_number": "678-730-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "BRADFORD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.