DR. BRADLEY G GOODSON M.D.
NPI 1558569442
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lowell, AR

Q: What is Bradley Goodson's NPI number?

The NPI number for Bradley Goodson is 1558569442. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Bradley Goodson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Goodson was last updated on July 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment

519 LATHAM DR, LOWELL, AR 72745(479) 750-0125(479) 750-0323 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Bradley G Goodson M.d. NPPES

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

DR. BRADLEY G GOODSON M.D. (NPI 1558569442) is an individual child & adolescent psychiatry provider in Lowell, Arkansas, licensed in Arkansas (E-7396) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1558569442

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. BRADLEY G GOODSONCredential: M.D.

Location Address519 LATHAM DRLowell, AR 72745-8360

Mailing Address519 Latham DrLowell, AR 72745-8360 · (479) 750-0125 · Fax (479) 750-0323

Phone(479) 750-0125

Fax(479) 750-0323

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 3, 2007

Last NPPES UpdateJuly 18, 2012

✔ NPI 1558569442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in AR · E-7396

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License E-7396 (AR), 47546 (TN)

519 LATHAM DR, Lowell, AR 72745

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Other Identifiers 1

Medicare PIN5AP78AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bradley G Goodson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42475147

PECOS Enrollment IDI20221228001823

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMI SCOTT

Developmental Therapist