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

Shane Brent Goller, MD

Individual provider General Practice Physician · NPI 1487188652

Shane Brent Goller, MD is a General Practice Physician in Tacoma, Washington. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-1100
Phone: (253) 477-0838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101265466 (VA)
General Practice Physician Taxonomy 208D00000X · Licence 0101265466 (VA)

Record details

NPI number1487188652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2017
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address9040 Reid St, Joint Base Lewis McChord, WA 98431-1101

Other providers in Tacoma