Linda Bergin Goforth, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106347 Issued in FL

Practice address

2001 Manatee Ave E
Suite 103
Bradenton, FL 34208-1620

Phone

(941) 803-8395

Fax

(941) 803-8158

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1841387735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVENUE EAST,",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "LINDA",
        "middle_name": "BERGIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102514",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGI",
            "identifier": "MB0350710",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Godfrey
• Eliot W. Godofsky, M.D.
• Lovely Godoi
• Velma Godwin
• Gary Anton Goerg, D.C.
• Jose' Mario Goldberg, D.D.S.,P.A
• Brian Howard Goldman, DO
• Howard A Goldman, M.D.
• Bradley E Goldstein, D.O., M.P.H., M.S.
• Alessandro Golino, M.D.

• Medical Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.