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BRAD HENRY GOODMAN M. D. NPI 1407816432


NPI Information

NPI: 1407816432
Provider Name: BRAD HENRY GOODMAN, M. D.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
505 EISENHOWER DR
SAVANNAH, GA
ZIP 31406
Phone: (912) 354-6190
Get Directions

Brad Henry Goodman, M. D. is an allergy immunology in Savannah, GA with 32 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Brad Henry Goodman, M. D. NPI is 1407816432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

505 EISENHOWER DR
SAVANNAH, GA
ZIP 31406-668
Phone: (912) 354-6190
Fax: (912) 354-6172

The NPI 1407816432 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)

The enumeration date for this NPI number is 3/24/2006 and was last updated on 11/4/2022.


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
1207K00000XAllergy & Immunology38780GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G38780MEDICAIDSOUTH CAROLINA
2000762022EMEDICAIDGEORGIA
3030004120OTHERRAILROAD MEDICARE
4768017OTHERBLUE CROSS BLUE SHIELD

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: 4/28/2024

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.