Active NPI
Brandi-Ellen Goulding, MSPT MBA
- Physical Therapist
- Brawley, CA
National Provider Identifier
1801239629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32865
- Practice address
- 207 W Legion Rd
Brawley, CA 92227-7780 - Phone
- (760) 351-3288
- NPI assigned
- Apr 11, 2013
- Last updated
- Apr 11, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32865 | CA | Primary |
Addresses
Primary practice location
207 W Legion Rd
Brawley, CA 92227-7780
Mailing address
120 Malan St
Apt 252
Brawley, CA 92227-5101
Phone (517) 643-0128
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
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32865 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1801239629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MALAN ST",
"address_2": "APT 252",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922275101",
"telephone_number": "517-643-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULDING",
"first_name": "BRANDI-ELLEN",
"credential": "MSPT MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.