Individual provider Active NPI

Hal Bradley Goolman, DPM

  • Podiatrist
  • Whitefield, NH
National Provider Identifier
1992782734
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0245 Issued in NH
Practice address
8 Clover Lane
Suite 1
Whitefield, NH 03598
Phone
(603) 788-2521
Fax
(603) 788-5027
NPI assigned
Dec 22, 2005
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0245 NH Primary

Addresses

Primary practice location

8 Clover Lane
Suite 1
Whitefield, NH 03598

Mailing address

8 Clover Lane
Suite 1
Whitefield, NH 03598
Phone (603) 788-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051029000285 NH Practitioner - Podiatry 4284651142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1992782734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CLOVER LANE",
            "address_2": "SUITE 1",
            "city": "WHITEFIELD",
            "state": "NH",
            "postal_code": "03598",
            "telephone_number": "603-788-2521",
            "fax_number": "603-788-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CLOVER LANE",
            "address_2": "SUITE 1",
            "city": "WHITEFIELD",
            "state": "NH",
            "postal_code": "03598",
            "telephone_number": "603-788-2521",
            "fax_number": "603-788-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLMAN",
        "first_name": "HAL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "0245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefield, NH

Sources for this page

Verify at the official NPI Registry.