NPI
Benjamin Ashby Goodrum
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- CNM, FNP
- Type
- Individual
- Enumeration date
- 2014-09-12
- Last updated
- 2025-05-06
Specialties
Licenses
- License OR
- 201406326NP-PP
- License NY
- F002184-01
- License CA
- CNM236316
Location
- Practice location
- 2450 Ashby Ave
- City
- Berkeley CA
- Postal code
- 94705-2067
- Phone
- (510) 204-3977
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Berkeley, CA. 5,594 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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