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Individual
BRAD HENRY GOODMAN
Active
Individual
BRAD HENRY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
38780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000762022K
—
GA
05
—
000762022R
—
GA
05
—
000762022S
—
GA
01
—
G47700A
MEDICARE
GA
01
—
Q00842796
RR MEDICARE
GA
Enumeration date
03/24/2006
Last updated
04/16/2025
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