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Contact Information

BENJAMIN ASHBY GOODRUM, CNM, FNP
2450 ASHBY AVE
BERKELEY, CA94705-2067
 Phone: 510-204-3977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BENJAMIN ASHBY GOODRUM · (Male)

NPI # 1861893414
Status Active
Credentials CNM, FNP
Entity Individual
Enumeration date 09/12/2014
Last updated 05/06/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # CNM236316
  • NY License # F002184-01
  • OR License # 201406326NP-PP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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