CHAD BRIAN GOODERHAM (FNP) – Family Nurse Practitioner, NPI 1639153091
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHAD BRIAN GOODERHAM (FNP)
1123, Shannon Drive, Hamilton Acres, Fairbanks, Fairbanks North Star Borough, Alaska, 99701, United States
FAIRBANKS, AK 997013811
Phone: (907) 457-5158
Type: Mailing
Fort Wainwright, Gaffney Road, Hamilton Acres, Fairbanks, Fairbanks North Star Borough, Alaska, 99710, United States
FORT WAINWRIGHT, AK 997035001
Phone: (907) 353-5286
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-12-21
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99701)
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