DR. BRETT W. GOUDIE MD
NPI 1679627798
Pediatrics - Pediatric Cardiology in Providence, RI

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
1 HOPPIN ST, CORO BUILDING, PROVIDENCE, RI 02903(401) 444-4612(401) 793-8831 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brett W. Goudie Md NPPES

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

DR. BRETT W. GOUDIE MD (NPI 1679627798) is an individual pediatric cardiology provider in Providence, Rhode Island, licensed in Rhode Island (RI13511) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Univ Of Pittsburgh School Of Dental Medicine (2000).

NPPES Registry Identity

NPI1679627798
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. BRETT W. GOUDIECredential: MD
Location Address1 HOPPIN ST, CORO BUILDINGProvidence, RI 02903-4141
Mailing Address593 Eddy St, Hasbro 122Providence, RI 02903-4923 · (401) 444-4612 · Fax (401) 793-8831
Fax(401) 793-8831
Sole ProprietorNo
Medical School CMSUniv Of Pittsburgh School Of Dental MedicineGraduated 2000
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 3, 2011
✔ NPI 1679627798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in RI · RI13511✔ Licensed in DE · C10008082✔ Licensed in MD · D0068007✔ Licensed in PA · MD429590
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1 HOPPIN ST, Providence, RI 02903

Other Identifiers 5

Medicare UPINI72200
Medicaid109592NJ
Medicaid1679627798VA
Medicaid4110510MD
Medicaid101712508PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brett W. Goudie Md 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 ID4284736463
PECOS Enrollment IDI20110617000205
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Brett Goudie reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 55 clinicians in this Medicare group
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
Technician, Cardiology
11 FRIENDSHIP ST
Newport, RI 02840
  • Reassigned Medicare billing, Rhode Island enrollment
  • 13 clinicians in this Medicare group
Cardiovascular Disease
100 KENYON AVE
Wakefield, RI 02879
  • Reassigned Medicare billing, Rhode Island enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist (Clinical Child & Adolescent)
1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST, CORO CENTER SUITE 304
PROVIDENCE, RI 02903
Registered Nurse (Diabetes Educator)
1 HOPPIN ST, 3RD FLOOR
PROVIDENCE, RI 02903
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 HOPPIN ST
PROVIDENCE, RI 02903
Ophthalmology
1 HOPPIN ST, SUITE 202
PROVIDENCE, RI 02903
Psychologist (Clinical Child & Adolescent)
1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903
Specialist
1 HOPPIN ST, CORO WEST SUITE 304A
PROVIDENCE, RI 02903
Psychologist (Clinical Child & Adolescent)
1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brett Goudie's NPI number?

The NPI number for Brett Goudie is 1679627798. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Brett Goudie located?

Brett Goudie practices at 1 Hoppin St Coro Building, Providence, RI 02903. The listed phone number is (401) 444-4612.

What is Brett Goudie's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Brett Goudie enrolled in Medicare?

Yes. Brett Goudie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brett Goudie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Goudie reassigns Medicare benefits to 5 organizations: Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI), Affinity Physicians LLC (Providence, RI), Newport Hospital (Newport, RI) and Silver Spring Health Care Management, Inc (Wakefield, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brett Goudie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brett Goudie was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.