BRYAN GOODMAN


Address: Bldg #1058, Mcbh Kaneohe Bay, HI 96863
Phone: 8082572281

BRYAN GOODMAN (NPI# 1316350168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316350168
Entity Type Individual
Full Name BRYAN GOODMAN
Credential IDC
Practice Address Bldg #1058
Mcbh Kaneohe Bay
HI 96863
Mailing Address 7007 Dias Loop
Kailua
HI 96734-4752
Practice Telephone 8082572281
Mailing Telephone 6198516134
Enumeration Date 2014-06-10
Last Update Date 2014-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
CA Other Service Providers

Other Providers BRYAN GOODMAN

NPI Name Taxonomy Address Enumeration
1366789372 Bryan Joseph Goodman Pharmacist 15 Laurel Canyon Village Cir, 118, Canton, GA 30114-4469 2013-01-10
1801386610 Bryan Nicholas Goodman Student in an Organized Health Care Education/Training Program 1775 Grand Concourse, Bronx, NY 10453-8202 2018-05-16

Office Location

Street Address BLDG #1058
City MCBH KANEOHE BAY
State HI
Zip Code 96863

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720624992 Joshua Marcus Kuepper Military Health Care Provider 4th Force Reconnaissance Co, 1181 Sumner Rd Mcb Kaneohe Bay Hi, Apo, AA 96863 2019-11-22
1649796244 Joshua I White Military Health Care Provider Bldg 4078 Harris Rd., Mcbh Kaneohe Bay, HI 96863 2017-08-16
1669917712 Julia Fox Counselor Bldg 279 Marine Base, Kaneohe Bay, HI 96863 2016-12-28
1447690730 Sean Dennig Internal Medicine Mcbh Kaneohe, Building 301, Kaneohe Bay, HI 96863 2013-07-01
1346590262 Jonathan Cleek Military Health Care Provider Bldg 1181 Sumner Rd, Kaneohe Bay, HI 96863 2012-09-18
1881942811 Wendylynn Marie Clark Dental Hygienist Bldg 3089d Street Mcbh, 21st Dental Company, Kaneohe, HI 96863 2012-08-23
1437405826 Mavis Keiko Gushiken Dental Hygienist 21st Dental Mcbh, Unite 38450, Kaneohe Bay, HI 96863 2012-08-03
1457608887 Hai Duc Nguyen Dental Hygienist 21st Dental Mcbh Unit 38450, Kaneohe Bay, HI 96863 2012-08-03
1174805188 Michael Winkle Military Health Care Provider 3d Marine Regiment (-) (rein) (ras), Box 63005 Mcbh, Kaneohe Bay, HI 96863 2011-09-15
1104117779 Joshua Robey Potocko General Practice Mag-24 Group Aid Station, Bldg 301, Mcbh Kaneohe, HI 96863 2011-04-29
Find all providers in zip 96863

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649796244 Joshua I White Military Health Care Provider Bldg 4078 Harris Rd., Mcbh Kaneohe Bay, HI 96863 2017-08-16
1023172004 Sam Phillip Turman Military Health Care Provider 1st Battalioon 3d Marines 3d Mardiv Fmf, Heaedquarters and Service Company, Mcbh Kaneohe Bay, HI 96863 2006-12-21
1164466355 Carlos Edwin Perezcastro Military Health Care Provider 2nd Batallion 3rd Marines Batallion Aid Station, Box 63012, Mcbh Kaneohe Bay, HI 96863-3006 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205441888 William Andrew Fitzpatrick Military Health Care Provider Bldg 6905, Mcbh, HI 96734 2020-09-10
1215549670 Joseph Frabotta Military Health Care Provider 6894r Mokapu Rd, Kailua, HI 96734 2020-08-18
1508484882 David Jason Brown Military Health Care Provider 6255 Kaawa St, Kailua, HI 96734-4984 2020-07-13
1134759715 David Maldonado Santiago Military Health Care Provider 590 Moffet St, Jbphh, HI 96853-5168 2020-01-22
1003325366 Justin Hesse Military Health Care Provider Building 17 Bishop Point, Pearl Harbor, HI 96860 2017-09-29
1104290519 Carlton Jacob Maughan Military Health Care Provider Bldg 17 Bishops Point, Pearl Harbor, HI 96860 2015-11-23
1811363120 Timothy Layton Military Health Care Provider 1016 Ulupau Loop, Kailua, HI 96734-4772 2015-08-20
1700263001 Daniel Joseph Engelhardt Military Health Care Provider 5435 Kilmer Ln, Honolulu, HI 96818-3467 2015-05-06
1902249436 Alex Joseph Valencia Military Health Care Provider 3005 Glen Cove, Kailua, HI 96734-3004 2013-04-15
1174966931 Darrius Anthrawe Cooley Military Health Care Provider 5613 Bennion Ct, Honolulu, HI 96818-3224 2013-04-11
Find all providers with the same taxonomy

Competitor

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City MCBH KANEOHE BAY
Zip Code 96863

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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