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BRIAN WILLIAM GOODMAN DO NPI 1497165732


NPI Information

NPI: 1497165732
Provider Name: BRIAN WILLIAM GOODMAN, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: NORTH COUNTRY HEALTHCARE INC

PECOS Registration: Yes

Address:
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-4300
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Brian William Goodman, DO is a family medicine in Show Low, AZ with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Brian William Goodman, DO NPI is 1497165732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduation Year:2014

The provider's business location address is:

2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ
ZIP 85901-955
Phone: (928) 537-4300
Fax: (928) 532-6901

The NPI 1497165732 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2014 and was last updated on 3/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine007045ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.