MARY BEVENS GOODMAN NP-C NPI 1043677339

NPI Information

  • NPI: 1043677339
  • Provider Name: MARY BEVENS GOODMAN, NP-C
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 450 N ROXBURY DR
    SUITE #500
    BEVERLY HILLS, CA
    ZIP 90210
  • Phone: (310) 277-2393

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NPI Details

Mary Bevens Goodman, NP-C is an obstetrics and gynecology nurse practitioner in Beverly Hills, CA with 11 years of experience. Mary Bevens Goodman, NP-C NPI is 1043677339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

450 N ROXBURY DR
SUITE #500
BEVERLY HILLS, CA
ZIP 90210-231
Phone: (310) 277-2393

The NPI 1043677339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS:96910)

The enumeration date for this NPI number is 1/19/2016 and was last updated on 1/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & GynecologyNP95003472CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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