Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Ashby Goodrum, CNM, FNP

Individual provider Family Nurse Practitioner · NPI 1861893414

Benjamin Ashby Goodrum, CNM, FNP is a Certified Nurse Midwife (CNM) in Berkeley, California. Qualified in 2021, 5 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, New York and Oregon.

Years since qualifying
5
Licensed in
CA, NY, OR
In the registry since
2014
Specialties on file
3
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone: (510) 204-3977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Nw 27th St, Corvallis, OR 97330-5223 — (541) 766-6835

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence CNM236316 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201406326NP-PP (OR)
Advanced Practice Midwife Taxonomy 367A00000X · Licence F002184-01 (NY)

Record details

NPI number1861893414
Entity typeIndividual (Type 1)
GenderMale
Credentials CNM , FNP
Sole proprietorNo
NPI enumeratedSeptember 12, 2014
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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