LINDA BERGIN GOFORTH PA-C NPI 1841387735

NPI Information

NPI: 1841387735
Provider Name: LINDA BERGIN GOFORTH, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2001 MANATEE AVE E
SUITE 103
BRADENTON, FL
ZIP 34208
Phone: (941) 803-8395
Get Directions

Linda Bergin Goforth, PA-C is a medical physician assistant in Bradenton, FL. Linda Bergin Goforth, PA-C NPI is 1841387735. 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:

2001 MANATEE AVE E
SUITE 103
BRADENTON, FL
ZIP 34208-620
Phone: (941) 803-8395
Fax: (941) 803-8158

The enumeration date for this NPI number is 10/10/2006 and was last updated on 4/4/2012.

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
1	363AM0700X	Physician Assistant	Medical	102514	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	PA9106347	FLORIDA	Yes

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
1	MB0350710	OTHER	NORTH CAROLINA	CONTROLLED SUBSTANCE REGI

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: 11/14/2023

NPI Synchronization or Removal

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