NPIMap

Individual provider Active NPI

David Y Go, MD

  • Family Medicine Physician
  • Copperas Cove, TX
National Provider Identifier
1962479212
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8477 Issued in TX
Practice address
2401 Walker Place Blvd
Copperas Cove, TX 76522-4025
Phone
(254) 547-5516
Fax
(254) 542-0039
NPI assigned
Mar 7, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8477 TX Primary

Addresses

Primary practice location

2401 Walker Place Blvd
Copperas Cove, TX 76522-4025

Mailing address

2401 Walker Place Blvd
Copperas Cove, TX 76522-4025
Phone (254) 547-5516

Other identifiers 1

IdentifierTypeStateIssuer
330664YSGUOtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001545 TX Practitioner - Family Practice 9830234954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

187 PR
Suite 4060
Lampasas, TX 76550-4071
Phone (512) 556-3621

2401 Walker Place Blvd
Copperas Cove, TX 76522-4025
Phone (254) 547-7777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jan 17, 2022 Accepting new patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Family Medicine Past Accepting new patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Family Medicine Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407

Interoperability endpoints

  • Direct secure messaging: david.go@fmc.directbygreenway.com
  • Direct secure messaging: dgo1149636@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1962479212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WALKER PLACE BLVD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224025",
            "telephone_number": "254-547-5516",
            "fax_number": "254-542-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WALKER PLACE BLVD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224025",
            "telephone_number": "254-547-5516",
            "fax_number": "254-542-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "DAVID",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "330664YSGU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperas Cove, TX

Sources for this page

Verify at the official NPI Registry.