David Godfrey, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD045174E Issued in PA

Practice address

51 Boylston St
Bradford, PA 16701-2009

Phone

(814) 368-3123

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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 PA, NY2 enrollments

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 2

Specialty

Urology

Education

University of Texas Southwestern Medical School at Dallas, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Northwest PA, LLC Hospice, Bradford, PA, CCN 391510
• Olean General Hospital Hospital, Olean, NY, CCN 330103
• Upmc Kane Hospital, Kane, PA, CCN 391318
• Upmc Cole Hospital, Coudersport, PA, CCN 391313
• Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidgodfrey@healthsystemphysicianpc.medentdirect.com

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.

• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781

  NY

  Medicare reassignment Care Compare group NPD
• Olean General Hospital

  • General Practice Physician
  • Olean, NY
  • NPI 1033499017

  Urology

  NPD
• Olean General Hospital

  • Intermediate Emergency Medical Technician
  • Bradford, PA
  • NPI 1205091899
  NPD (past)

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

• Vna of Northwest PA, LLC

  • Community Based Hospice Care Agency
  • Bradford, PA
  • NPI 1114343720
  Care Compare affiliation Name & address match
• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554

  Hospital

  Care Compare affiliation
• Charles Cole Memorial Hospital

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Care Compare affiliation
• Elk Regional Health Center

  • Critical Access Hospital
  • Saint Marys, PA
  • NPI 1326434242
  Care Compare affiliation
• Upmc Kane

  • Critical Access Hospital
  • Kane, PA
  • NPI 1588416382
  Care Compare affiliation
• Upmc Kane

  • General Acute Care Hospital
  • Kane, PA
  • NPI 1861478307
  Care Compare affiliation
• Olean General Hospital

  • General Acute Care Hospital
  • Olean, NY
  • NPI 1225083074
  Care Compare affiliation
• Olean General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Olean, NY
  • NPI 1699715904
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1467408773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167010159",
            "telephone_number": "814-368-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BOYLSTON ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012009",
            "telephone_number": "814-368-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD045174E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010900580002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Gilligan
• Elizabeth A Girard, LCSW
• Katherine Gleason, CNM
• Melissa Ann Gleason, RPH
• Jamie Glover, RN
• Luis Carlos Gonzalez, M.D.
• Lisa Ellen Goodman, LPC
• Melinda Goodwin
• Crystal Gornati, PTA
• Joseph H Goro, MD

• Urology Physician in Bradford, PA
• Providers in Bradford, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.