Healthcare Provider Details

I. General information

NPI: 1891480661
Provider Name (Legal Business Name): WILLIAM CHRISTOPHER GOGGINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WEST MICHIGAN STREET, GATCH HALL 370
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

1120 WEST MICHIGAN STREET, GATCH HALL 370
INDIANAPOLIS IN
46202
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-7724
  • Fax:
Mailing address:
  • Phone: 317-274-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number01099761A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01099761A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: