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BRYAN L GODDARD MD
NPI 1780678169
Family Medicine in Ravena, NY

Active since August 31, 2005
2524 ROUTE 9W, RAVENA, NY 12143(518) 756-7390(518) 756-8030 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan L Goddard Md NPPES

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

BRYAN L GODDARD MD (NPI 1780678169) is an individual family medicine provider in Ravena, New York, licensed in New York (150318) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1780678169
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRYAN L GODDARDCredential: MD
Location Address2524 ROUTE 9WRavena, NY 12143-2804
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 756-7390
Fax(518) 756-8030
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateJanuary 18, 2018
✔ NPI 1780678169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 150318✔ Licensed in MO · 2008004918
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2524 ROUTE 9W, Ravena, NY 12143
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Other Identifiers 7

Medicaid00751111NY
OtherPRC110032213NY · Cdphp
Other305800NY · Senior Whole Health
Other6754C1NY · Empire Bc
Other101115000088NY · Fidelis
Other4228179NY · Aetna
Other642981NY · Ghi/hmo

Other Providers at the Same Location NPPES 3

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

MR. RICHARD ANTHONY GALARZA
Physician Assistant
2524 ROUTE 9W
RAVENA, NY 12143
Albany County (518) 756-7390
DR. THERESA A SIRICO DO
Family Medicine
2524 ROUTE 9W
RAVENA, NY 12143
Albany County (518) 756-7390
MR. RICHARD W JONES M.D.
Family Medicine
2524 ROUTE 9W
RAVENA, NY 12143
Albany County (518) 756-7390

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 Bryan Goddard's NPI number?

The NPI number for Bryan Goddard is 1780678169. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Bryan Goddard located?

Bryan Goddard practices at 2524 Route 9W, Ravena, NY 12143. The listed phone number is (518) 756-7390.

What is Bryan Goddard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bryan Goddard was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.