Hal Bradley Goolman, DPM
Individual provider Active NPI Podiatrist · Whitefield, NH
NPI 1992782734 · NPPES record last updated Dec 29, 2010
Key facts
- NPI
- 1992782734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 0245 (NH)
- Practice address
- 8 Clover Lane
Suite 1
Whitefield, NH 03598 - Phone
- (603) 788-2521
- Fax
- (603) 788-5027
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051029000285 | NH | Practitioner - Podiatry | 4284651142 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245 | NH | MD | Mental Health Counselor |
| 0245 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weeks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0245 | NH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ORE1597 | Medicaid | VT | |
| 30362449 | Medicaid | NH |
Other providers in Whitefield, NH
- Katrina L Colby
- Marianne Davio
- John Edward Ford Jr.
- Mielle S. Fox
- John Robert Goodwin
- Emma Marie Guay
- Evelyn D. Hagan
- Douglas Hillman
- Julie Rae Hohmeister
- John A Howell
All providers in Whitefield, NH · Podiatrist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.