Individual provider Active NPI

David L. Goldman, MD

  • Neurological Surgery Physician
  • Bellingham, WA
National Provider Identifier
1912978560
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD00027462 Issued in WA
Practice address
710 Birchwood Ave
#101
Bellingham, WA 98225-1720
Phone
(360) 676-0922
Fax
(360) 671-4726
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 00027462 WA
Neurological Surgery Physician 207T00000X MD00027462 WA Primary

Addresses

Primary practice location

710 Birchwood Ave
#101
Bellingham, WA 98225-1720

Mailing address

710 Birchwood Ave
#101
Bellingham, WA 98225-1720
Phone (360) 676-0922

Other identifiers 2

IdentifierTypeStateIssuer
284747OtherWALABOR & INDUSTRIES
8122830MedicaidWA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00027462WAMDNeurological Surgery Physician
MD00027462WAMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1912978560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE",
            "address_2": "#101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE",
            "address_2": "#101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "00027462",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00027462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "284747",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8122830",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.