BRUCE RANDOLPH GOODMAN MD NPI 1215923875

NPI Information

NPI: 1215923875
Provider Name: BRUCE RANDOLPH GOODMAN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
5651 FRIST BLVD
STE. 201
HERMITAGE, TN
ZIP 37076
Phone: (615) 391-0800
Get Directions

Bruce Randolph Goodman, MD is an obstetrics gynecology in Hermitage, TN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Bruce Randolph Goodman, MD NPI is 1215923875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5651 FRIST BLVD
STE. 201
HERMITAGE, TN
ZIP 37076-054
Phone: (615) 391-0800
Fax: (615) 391-0431

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		MD0000014977	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MD0000014977	OTHER	TENNESSEE	STATE ID NUMBER
2	3018473	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	A98229	MEDICARE UPIN	TENNESSEE
4	0057723	OTHER	TENNESSEE	BLUE CROSS

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: 5/5/2024

NPI Synchronization or Removal

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