JEREMY GOODMAN MD
NPI 1770530776
Transplant Surgery in Birmingham, AL

Active since May 27, 2006PECOS Enrolled
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: May 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Goodman Md NPPES

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

JEREMY GOODMAN MD (NPI 1770530776) is an individual transplant surgery provider in Birmingham, Alabama, licensed in Alabama (MD.28959) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770530776
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameJEREMY GOODMANCredential: MD
Location Address619 19TH ST SBirmingham, AL 35249-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 28, 2011
NPI 1770530776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses Licensed in AL · MD.28959 Licensed in WI · 49175
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
619 19TH ST S, Birmingham, AL 35249

Other Identifiers 1

Medicare UPINH42929

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeremy Goodman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249

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 Jeremy Goodman's NPI number?

The NPI number for Jeremy Goodman is 1770530776. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Jeremy Goodman located?

Jeremy Goodman practices at 619 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4011.

What is Jeremy Goodman's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Jeremy Goodman enrolled in Medicare?

Yes. Jeremy Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Goodman was last updated on May 28, 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.