Individual provider Active NPI

Bruce A. Goodman, MD

  • Internal Medicine Physician
  • Newtown, PA
National Provider Identifier
1801892120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039676E Issued in PA
Practice address
790 Newtown Yardley Rd
Suite 420
Newtown, PA 18940-1748
Phone
(215) 860-2424
Fax
(215) 860-3044
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD039676E PA Primary

Addresses

Primary practice location

790 Newtown Yardley Rd
Suite 420
Newtown, PA 18940-1748

Mailing address

790 Newtown Yardley Rd
Suite 420
Newtown, PA 18940-1748
Phone (215) 860-2424

Other identifiers 1

IdentifierTypeStateIssuer
1196960MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001374 PA Practitioner - Internal Medicine 4082685888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

790 Newton Yardley Rd
Suite 420
Newton, PA 18940-4503
Phone (215) 860-2424

Hospital & facility affiliations

  • Accentcare Hospice & Palliative Care of Pennsylvan Hospice, King of Prussia, PA, CCN 391709
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Buckingham Valley Rehabilitation and Nursingcenter Nursing home, Buckingham, PA, CCN 395188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a Goodman, M.D., P.C. Internal Medicine CurrentSince May 20, 2007 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
St Mary Medical Center Past Accepting new patients

Locations

790 Newtown Yardley Rd
Ste 420
Newtown, PA 18940
Phone (215) 860-2424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFCCBA/Endpoint/JFCCBA
  • Direct secure messaging: brudoc@directaddress.net
  • Direct secure messaging: jschmittmha@directaddress.net

Organizations & group practices 3

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 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801892120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 420",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401748",
            "telephone_number": "215-860-2424",
            "fax_number": "215-860-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 420",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401748",
            "telephone_number": "215-860-2424",
            "fax_number": "215-860-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039676E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196960",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.