BRUCE RANDOLPH GOODMAN MD - NPI 1215923875 - Obstetrics & Gynecology in Hermitage, TN

Q: What is Bruce Goodman's NPI number?

The NPI number for Bruce Goodman is 1215923875. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Bruce Goodman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Goodman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bruce Randolph Goodman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE RANDOLPH GOODMAN MD (NPI 1215923875) is an individual obstetrics & gynecology provider in Hermitage, Tennessee, licensed in Tennessee (MD0000014977) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1215923875

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameBRUCE RANDOLPH GOODMANCredential: MD

Location Address5651 FRIST BLVD, STE. 201Hermitage, TN 37076-2054

Mailing Address5651 Frist Blvd, Ste. 201Hermitage, TN 37076-2054 · (615) 391-0800 · Fax (615) 391-0431

Phone(615) 391-0800

Fax(615) 391-0431

Sole ProprietorNo

Enumeration DateSeptember 20, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215923875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TN · MD0000014977

Definition

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.

5651 FRIST BLVD, Hermitage, TN 37076

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