BRIAN WILLIAM GOODMAN (NPI# 1497165732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497165732 |
| Entity Type | Individual |
| Full Name | BRIAN WILLIAM GOODMAN |
| Credential | DO |
| Practice Address |
1301 S Crismon Rd Mesa AZ 85209-3767 |
| Mailing Address |
1855 N Stapley Dr Mesa AZ 85203-3002 |
| Practice Telephone | 4803732370 |
| Mailing Telephone | 4808347546 |
| Mailing Fax Number | 4808338313 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2018-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 007045 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1588293195 | Brian Robert Goodman | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl Street3, Louisville, KY 40202-1622 | 2020-04-06 |
| 1285138768 | Brian Goodman | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2018-03-20 |
| 1598059362 | Brian Michael Goodman | Physician Assistant | 701 Park Ave, Minneapolis, MN 55415-1623 | 2011-06-08 |
| 1063702082 | Brian S. Goodman | Radiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2011-04-11 |
| 1740453893 | Brian Michael Goodman | Surgery | 1 Medical Park, Wheeling, WV 26003-6379 | 2008-04-09 |
| 1851448732 | Brian Goodman | Anesthesiology | 3501 We Knight Dr, Fort Smith, AR 72903-6254 | 2007-01-04 |
| 1386611564 | Brian Goodman | Emergency Medicine | 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 | 2006-03-07 |
| Street Address |
1301 S CRISMON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422131 | Guangming Guo | Pathology | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2006-01-18 |
| 1336759679 | Tyler William Horge | Nurse Anesthetist, Certified Registered | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-08-02 |
| 1942825880 | Bryce Bunn | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-16 |
| 1962027326 | Randal Jordan Shumway | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1790300143 | Spencer Larson | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1548885825 | Jennifer Kaur Sudwal | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1760007116 | Victor Liao | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1255956819 | Ray Moussa | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-10 |
| 1972127033 | Katherine Chen Rollins | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-04 |
| 1699398016 | Joshua Benjamin Ang | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1457987679 | Az Med 4u | Family Medicine | 1136 E Harmony Ave Ste 101, Mesa, AZ 85204-5844 | 2020-03-19 |
| 1619500089 | Elizabeth Lapioli | Family Medicine | 5422 S St Claire, Mesa, AZ 85212-5420 | 2020-02-13 |
| 1003448952 | M.g.t Rn LLC | Family Medicine | 7117 E Peralta Cir, Mesa, AZ 85212-9825 | 2020-02-09 |
| 1144793126 | Health and Wellness Clinic LLC | Family Medicine | 1155 S Country Club Dr, Mesa, AZ 85210-4615 | 2019-01-02 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1447725189 | Adam Craig Turner | Family Medicine | 925 N Nina Dr, Mesa, AZ 85201-3935 | 2018-10-09 |
| 1235620170 | Stephanie Deborah Kotsur | Family Medicine | 7334 E Plata Ave, Mesa, AZ 85212-9754 | 2018-05-26 |
| 1902308042 | Andrew Jason Wood | Family Medicine | 10902 E Sunland Ave, Mesa, AZ 85208-3938 | 2018-03-05 |
| 1871002683 | Verve Wellness Center, LLC. | Family Medicine | 4838 E Baseline Rd Ste 110, Mesa, AZ 85206-4674 | 2017-09-25 |
| Find all providers in MESA | ||||
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| 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.