DR. BRYAN NICHOLAS GOODMAN DDS
NPI 1801386610
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 16, 2018

1775 GRAND CONCOURSE, BRONX, NY 10453(718) 901-8410 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Bryan Nicholas Goodman Dds NPPES

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

DR. BRYAN NICHOLAS GOODMAN DDS (NPI 1801386610) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1801386610

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BRYAN NICHOLAS GOODMANCredential: DDS

Location Address1775 GRAND CONCOURSEBronx, NY 10453-8202

Mailing Address101 W 140th St Apt 56New York, NY 10030-1788 · (615) 573-6332

Phone(718) 901-8410

Sole ProprietorNo

Enumeration DateMay 16, 2018

✔ NPI 1801386610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1775 GRAND CONCOURSE, Bronx, NY 10453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›