Max Godfrey, MB BS (LONDON)

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

259473 Issued in MA

Practice address

300 Longwood Ave
Boston Children'S Hospital - Cardiology Dept
Boston, MA 02115-5724

Phone

(617) 834-8325

NPI assigned

Jul 15, 2014

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)

Enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1912314519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PORTINA RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354618",
            "telephone_number": "617-834-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "BOSTON CHILDREN'S HOSPITAL - CARDIOLOGY DEPT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-834-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "MB BS (LONDON)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MA",
            "license": "259473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Rose Goddard, MD
• Kathryn Goddard, NP
• Susanne Goddard, PNP
• Michael George Goddu, DO
• Deena Godfrey, MD
• Ryan Robert Godfrey, PA-C
• John Elliott Godine, MD PHD
• John J Godleski, MD
• Carol Yohanna Godoy Collazos, MD
• Lauren Elizabeth Godsoe, MSN,FNP-BC

• Pediatric Cardiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Cardiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.