BRADLEY TAIT GOETTL FNP
NPI 1740694454
Nurse Practitioner - Family in San Antonio, TX
About Bradley Tait Goettl Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY TAIT GOETTL FNP (NPI 1740694454) is an individual family provider in San Antonio, Texas, licensed in Texas (AP125858) and active in the NPI registry since June 2014.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Accepted Insurance
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Goettl's NPI number?
The NPI number for Bradley Goettl is 1740694454. It was assigned to this individual provider in the NPPES registry on June 20, 2014.
Where is Bradley Goettl located?
Bradley Goettl practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-2078.
What is Bradley Goettl's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
What insurance does Bradley Goettl accept?
Health plans from Blue Cross and Blue Shield of Texas list Bradley Goettl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bradley Goettl was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bradley Tait Goettl, FNP · NPI 1740694454
Family physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since June 20, 2014.
## Identity
- **NPI:** 1740694454 (Entity type: Individual)
- **Enumerated:** June 20, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP125858 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4502 MEDICAL DR, San Antonio, TX 78229-4402
- **Phone:** (210) 358-2078 · **Fax:** (210) 358-1972
## Record status
- **NPPES last updated:** September 27, 2016
- **Other identifiers:** Medicaid 339105407 (TX); Other 339105408 (TX); Medicare UPIN 365497YK00 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1740694454) · Data from the CMS NPPES public registry.