Brian Thomas Goss, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA004506 Issued in PA

Practice address

202 Memorial Dr Ste 2
Everett, PA 15537-7057

Phone

(814) 623-0552

Fax

(814) 623-0752

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bedford Regional Urology, P.C.

  dba Stephen J. Yanoshak, D.O.

  • Urology Physician
  • Everett, PA
  • NPI 1518976414
  Medicare reassignment
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1952887564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEMORIAL DR STE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377057",
            "telephone_number": "814-623-0552",
            "fax_number": "814-623-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEMORIAL DR STE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377057",
            "telephone_number": "814-623-0552",
            "fax_number": "814-623-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA004506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Rehab Services
• Roseanne Gichuru, D.O.
• Patrick Gladfelter
• James Glah, DO
• Curvin Gordon
• Rebecca Ann Grandi, OT
• Renee Hamler
• Nancy Lynn Hangeland
• Dana Harris
• Keisha Hay

• Medical Physician Assistant in Everett, PA
• Providers in Everett, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.