Ugo Goetzl, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

21402 Issued in NC

Practice address

4111 Ben Franklin Blvd
Durham, NC 27704-2141

Phone

(919) 719-8834

Fax

(919) 582-0528

NPI assigned

Apr 7, 2006

Last updated

Jan 13, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Novant Medical Group, Inc.

  dba Regional Neurosurgery

  • Neurological Surgery Physician
  • Durham, NC
  • NPI 1801044748
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1467415810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076000",
            "telephone_number": "919-782-3456",
            "fax_number": "919-582-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042141",
            "telephone_number": "919-719-8834",
            "fax_number": "919-582-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZL",
        "first_name": "UGO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "21402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936062",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleigh Brook Godwin
• John H Godwin, LCSW
• Erika Summers Goeckerman, NP
• Brock Goeglein
• Kara Healley Goel, LCSW
• Gold Family Services LLC
• Kenneth John Gold
• Goldaura Therapy, PLLC
• Joel S Goldberg, MD
• Kenneth Charles Goldberg, M.D.

• Neurology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.