CLYDE LEROY GOODMAN MD
NPI 1801823083
General Practice in Fort Worth, TX

Q: What is Clyde Goodman's NPI number?

The NPI number for Clyde Goodman is 1801823083. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as C. Leroy Goodman MD.

Q: What is Clyde Goodman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Goodman was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 26, 2006

4840 BRYANT IRVIN CT., SUITE 104, FORT WORTH, TX 76107(817) 335-4549(817) 377-0970 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clyde Leroy Goodman Md NPPES

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

CLYDE LEROY GOODMAN MD (NPI 1801823083) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (D7984) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1801823083

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameCLYDE LEROY GOODMANCredential: MD

Location Address4840 BRYANT IRVIN CT., SUITE 104Fort Worth, TX 76107-7680

Mailing Address4840 Bryant Irvin Ct., Suite 104Fort Worth, TX 76107-7680 · (817) 335-4549 · Fax (817) 377-0970

Phone(817) 335-4549

Fax(817) 377-0970

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateOctober 4, 2012

✔ NPI 1801823083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · D7984

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4840 BRYANT IRVIN CT., Fort Worth, TX 76107

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Other Names 1

Professional Name (2)C. Leroy Goodman Md

Other Identifiers 3

Medicare UPINB87881TX

Medicaid034680101TX

Medicare ID-Type Unspecified00L975TX

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 Clyde Goodman's NPI number?

The NPI number for Clyde Goodman is 1801823083. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as C. Leroy Goodman MD.

Where is Clyde Goodman located?

Clyde Goodman practices at 4840 Bryant Irvin Ct. Suite 104, Fort Worth, TX 76107. The listed phone number is (817) 335-4549.

What is Clyde Goodman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Clyde Goodman was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.