Individual
BRAD HENRY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
505 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-6190
(912) 354-6172
Mailing address
505 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-6190
(912) 354-6172
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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