Linda a. Goodrum, M.D.,P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J4827 Issued in TX

Legal business name

LINDA A. GOODRUM, M.D.,P.A.

Practice address

251 Medical Center Blvd Ste 300a
Webster, TX 77598-4242

Phone

(281) 338-7693

Fax

(281) 338-8849

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Linda A Goodrum, M.D.

Title

President

Phone

(281) 338-7693

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1487841912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MEDICAL CENTER BLVD STE 300A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984242",
            "telephone_number": "281-338-7693",
            "fax_number": "281-338-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MEDICAL CENTER BLVD STE 300A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984242",
            "telephone_number": "281-338-7693",
            "fax_number": "281-338-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA A. GOODRUM, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "GOODRUM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-338-7693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176589301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132474109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Webster, TX
• Providers in Webster, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.