MR. JAMES BERNHARDT GOODMAN MD NPI 1710954060

NPI Information

NPI: 1710954060
Provider Name: MR. JAMES BERNHARDT GOODMAN, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
2505 CHANTILLY CT
HEATH, TX
ZIP 75032
Phone: (972) 771-0502
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MR. James Bernhardt Goodman, MD is an adult medicine family medicine in Heath, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MR. James Bernhardt Goodman, MD NPI is 1710954060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2505 CHANTILLY CT
HEATH, TX
ZIP 75032-909
Phone: (972) 771-0502

The enumeration date for this NPI number is 3/7/2006 and was last updated on 5/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	D6009	TEXAS	No
2	207QA0505X	Family Medicine	Adult Medicine	D6009	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	131468408	MEDICAID	TEXAS
2	8D9681	MEDICARE ID-TYPE UNSPECIFIED
3	131468407	MEDICAID	TEXAS
4	8D9365	MEDICARE ID-TYPE UNSPECIFIED
5	E21507	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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