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

Individual provider Acute Care Nurse Practitioner · NPI 1073299640

Joshua Glen Gooch, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2023, 3 years ago. Practices with Affinity Cardiovascular Specialists LLC, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone: (205) 971-7500
Fax: (205) 971-7571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243-3411 — (205) 971-7500

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-178677 (AL)

Record details

NPI number1073299640
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Affinity Cardiovascular Specialists Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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