MARK ADAM GODDARD M.D. NPI 1487606323

NPI Information

NPI: 1487606323
Provider Name: MARK ADAM GODDARD, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2050 OAK MOUNTAIN DR
SUITE 7
PELHAM, AL
ZIP 35124
Phone: (205) 621-5780
Get Directions

Mark Adam Goddard, M.D. is a diagnostic radiology radiology in Pelham, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Adam Goddard, M.D. NPI is 1487606323. 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:

2050 OAK MOUNTAIN DR
SUITE 7
PELHAM, AL
ZIP 35124-368
Phone: (205) 621-5780
Fax: (205) 621-9780

The NPI 1487606323 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/19/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	ME81700	FLORIDA	No
2	2085R0202X	Radiology	Diagnostic Radiology	049537	GEORGIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	4301058407	MICHIGAN	No
4	2085R0202X	Radiology	Diagnostic Radiology	00020013	ALABAMA	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	051533737	OTHER	ALABAMA	BLUE CROSS
2	G08585	MEDICARE UPIN	ALABAMA

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

NPI Synchronization or Removal

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