Individual
BRADLY SEAN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 GADSDEN HIGHWAY, BIRMINGHAM, AL 35235-3134
(205) 838-3900
(205) 838-3906
Mailing address
1801 GADSDEN HIGHWAY, BIRMINGHAM, AL 35235-3134
(205) 838-3900
(205) 838-3906
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00018155
AL
208100000X
Physical Medicine & Rehabilitation Physician
ME120607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23043
—
AL
01
—
51023043
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/08/2006
Last updated
11/13/2023
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