Individual provider Active NPI

Fred H Goldner, MD

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1932193695
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G5912 Issued in TX
Practice address
8214 Wurzbach
San Antonio, TX 78229-3319
Phone
(210) 614-1234
Fax
(210) 614-7749
NPI assigned
Sep 8, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G5912 TX Primary

Addresses

Primary practice location

8214 Wurzbach
San Antonio, TX 78229-3319

Mailing address

8415 Datapoint Dr
Suite 1000
San Antonio, TX 78229-3298
Phone (210) 614-1234

Other identifiers 3

IdentifierTypeStateIssuer
100005732OtherMEDICARE RAILROAD
88A654OtherTXBCBS
105860401MedicaidTX

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
G5912TXMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1932193695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR",
            "address_2": "SUITE 1000",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293298",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 WURZBACH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293319",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDNER",
        "first_name": "FRED",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G5912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "100005732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88A654",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105860401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.