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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BRAD LANDON GOOLSBY PA-C
NPI 1962061184
Physician Assistant in San Luis Obispo, CA

Active since June 11, 2019PECOS Enrolled
555 CHORRO ST STE A2, SAN LUIS OBISPO, CA 93405(805) 321-5080(877) 752-3742 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jul 28, 2022, Sep 1, 2020 and 2 more (5 updates tracked since 2019).

About Brad Landon Goolsby Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAD LANDON GOOLSBY PA-C (NPI 1962061184) is an individual physician assistant in San Luis Obispo, California and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962061184
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRAD LANDON GOOLSBYCredential: PA-C
Location Address555 CHORRO ST STE A2San Luis Obispo, CA 93405-2396
Mailing Address555 Chorro St Ste A2San Luis Obispo, CA 93405-2396 · (805) 321-5080 · Fax (877) 752-3742
Phone(805) 321-5080
Fax(877) 752-3742
Sole ProprietorNo
Enumeration DateJune 11, 2019
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1962061184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
555 CHORRO ST STE A2, San Luis Obispo, CA 93405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brad Landon Goolsby Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brad Goolsby's NPI number?

The NPI number for Brad Goolsby is 1962061184. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Brad Goolsby located?

Brad Goolsby practices at 555 Chorro St Ste A2, San Luis Obispo, CA 93405. The listed phone number is (805) 321-5080.

What is Brad Goolsby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brad Goolsby enrolled in Medicare?

Yes. Brad Goolsby is registered in the Medicare PECOS enrollment system.

What insurance does Brad Goolsby accept?

Health plans from Providence Health Plan list Brad Goolsby 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 Brad Goolsby was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.