Active NPI
Greg Goerig
- Athletic Trainer
- Midlothian, TX
National Provider Identifier
1942865829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1501
- Practice address
- 4000 FM 1387
Midlothian, TX 76065-5130 - Phone
- (817) 637-0990
- NPI assigned
- May 6, 2019
- Last updated
- May 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT1501 | TX | Primary |
Addresses
Primary practice location
4000 FM 1387
Midlothian, TX 76065-5130
Mailing address
4000 FM 1387
Midlothian, TX 76065-5130
Phone (817) 637-0990
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1501 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1942865829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 FM 1387",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655130",
"telephone_number": "817-637-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 FM 1387",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655130",
"telephone_number": "817-637-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERIG",
"first_name": "GREG",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.