Active NPI
David L. Goldman, MD
- Neurological Surgery Physician
- Bellingham, WA
National Provider Identifier
1912978560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD00027462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284747 | Other | WA | LABOR & INDUSTRIES |
| 8122830 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00027462 | WA | MD | Neurological Surgery Physician |
| MD00027462 | WA | MD | Neurological 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.