Individual provider Active NPI

Brooke Allison Goldner, M.D.

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1508906421
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A94022 Issued in CA
Practice address
2025 E 7TH St
Long Beach, CA 90804-4590
Phone
(562) 284-0108
NPI assigned
Feb 8, 2007
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A94022 CA Primary

Addresses

Primary practice location

2025 E 7TH St
Long Beach, CA 90804-4590

Mailing address

16822 Bayview Dr
Huntington Beach, CA 92649-2805
Phone (562) 715-7123

Other names 1

  • Dr. Brooke Allison Goldner Tadlock Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1508906421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16822 BAYVIEW DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492805",
            "telephone_number": "562-715-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044590",
            "telephone_number": "562-284-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDNER",
        "first_name": "BROOKE",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A94022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "GOLDNER TADLOCK",
            "middle_name": "ALLISON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.