Active NPI
Bradley Eugene Goff, M.D.
- Otolaryngology Physician
- Calhoun, GA
National Provider Identifier
1487725263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 43944
- Practice address
- 110 Hospital Dr
Calhoun, GA 30701-2079 - Phone
- (706) 602-3104
- Fax
- (706) 602-3105
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 43944 | GA | Primary |
Addresses
Primary practice location
110 Hospital Dr
Calhoun, GA 30701-2079
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703-7013
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000837185G | Medicaid | GA | |
| 000837185H | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43944 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Georgia E.N.T. Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Cartersville, GA
- NPI 1649450156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1487725263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307037013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOSPITAL DR",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307012079",
"telephone_number": "706-602-3104",
"fax_number": "706-602-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "BRADLEY",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "43944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000837185G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000837185H",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.