Individual
DR. CARL G GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105-6000
(318) 798-4623
(318) 798-4568
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4623
(318) 798-4646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009524
LA
207X00000X
Orthopaedic Surgery Physician
009524
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1095699
—
LA
01
—
200020143
RAILROAD MEDICARE NUMBER
LA
Enumeration date
06/09/2005
Last updated
02/02/2026
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