NPIMap

Individual provider Active NPI

Bradley James Goeke, M.D.

  • Orthopaedic Surgery Physician
  • Niceville, FL
National Provider Identifier
1659464196
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME111350 Issued in FL
Practice address
1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887
Phone
(850) 897-8081
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME111350 FL Primary

Addresses

Primary practice location

1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887

Mailing address

1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887
Phone (850) 897-8081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000637 FL Practitioner - Orthopedic Surgery 6901083559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3888
Phone (850) 897-8081

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as individual
Quality
70.92
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement23
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)38
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME111350FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Oct 1, 2023 Accepting new patients
North Florida Surgeons, PA Orthopaedic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Bluewater Orthopedics, P.a. CurrentSince Jul 1, 2012 Accepting new patients
Bluewater Orthopedics PA Orthopaedic Surgery CurrentSince Jul 1, 2012 Accepting new patients

Locations

120 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8600

1021 US Highway 331 S
#79
Defuniak Springs, FL 32435

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

7720 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 290-2154

1950 Bluewater Blvd
Ste 100
Niceville, FL 32578
Phone (850) 897-8081

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23855/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bradley.goeke.1@9109.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1659464196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 100",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 100",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEKE",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME111350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.