Donald Bruce Gooden

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

4811 S Jackson Ave Apt 9
Tulsa, OK 74107-8102

Phone

(512) 573-8052

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1700663721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S JACKSON AVE APT 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741078102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S JACKSON AVE APT 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741078102",
            "telephone_number": "512-573-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "DONALD",
        "middle_name": "BRUCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren L Good, DDS
• Christa Goodale
• Tamauri Goode
• Jennie Goodell
• Alexa J Gooden, PHD, RN, BC, CNS
• Jan Sharpless Goodhue, PTA
• Brittany Goodin, APRN
• Shay Lynn Goodin
• Jeffrey M Goodloe, M.D.
• Sky Goodloe

• Peer Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.