Individual
BRETT PATRICK GODBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 807-0366
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD041621L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012062330001
—
PA
01
—
01195901
KEYSTONE HEALTH CENTRAL
—
01
—
0427799000
AMERIHEALTH
—
01
—
088884
AETNA
—
01
—
13294
GEISINGER HEALTH PLAN
—
01
—
1353362
CIGNA HEALTHCARE
—
01
—
1459385
PRIVATE HEALTHCARE SYSTEM
—
01
—
1553795
UNITED HEALTHCARE
—
01
—
200007508
RAILROAD MEDICARE
—
01
—
2170505
MAMSI
—
01
—
328815
HEALTH AMERICA/HEALTH ASS
—
01
—
50044348
CAPITAL BLUE CROSS
—
01
—
605276
FIRST PRIORITY LIFE INS.
—
01
—
819550
FIRST PRIORITY HEALTH
—
01
—
P379431
OXFORD HEALTH PLANS
—
Enumeration date
07/07/2005
Last updated
08/22/2022
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