SCOTT DOUGLAS GOBLE M.D. NPI 1154384584

NPI Information

  • NPI: 1154384584
  • Provider Name: SCOTT DOUGLAS GOBLE, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2215 E VILLA MARIA RD
    #130
    BRYAN, TX
    ZIP 77802
  • Phone: (979) 774-0808

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NPI Details

Scott Douglas Goble, M.D. is a radiation oncology radiology in Bryan, TX with 33 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Scott Douglas Goble, M.D. NPI is 1154384584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

2215 E VILLA MARIA RD
#130
BRYAN, TX
ZIP 77802-548
Phone: (979) 774-0808
Fax: (979) 776-3028

The NPI 1154384584 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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Design and construction of intermediate radiation treatment device (HCPCS:77333)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • 3d radiation therapy planning (HCPCS:77295)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 6/11/2010.

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
12085R0001XRadiologyRadiation OncologyK1450TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
183R958MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2042666001MEDICAIDTEXAS
3G36227MEDICARE UPINTEXAS

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: 3/30/2025

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