BRYAN L. GODDARD MD – NPI #1780678169
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BRYAN GODDARD is a physician located in RAVENA, NY. NPPES has assigned the NPI number 1780678169 to BRYAN GODDARD on August 31, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jan 18, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRYAN GODDARD below.

NPI Profile for
BRYAN L. GODDARD

NPI Number
1780678169
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRYAN L. GODDARD
Credentials
MD
Primary location
2524 ROUTE 9W
RAVENA, NY 12143-2804
Phone: (518) 756-7390 Fax: (518) 756-8030
Mailing address
711 TROY SCHENECTADY RD STE 203
LATHAM, NY 12110-2461
Phone: (518) 782-3700 Fax: (518) 782-3799
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRYAN GODDARD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNANY4228179
OTHERCDPHPNYPRC110032213
OTHEREMPIRE BCNY6754C1
OTHERFIDELISNY101115000088
OTHERGHI/HMONY642981
OTHERSENIOR WHOLE HEALTHNY305800
MEDICAIDNY00751111
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MO 2008004918

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Affiliations
BRYAN GODDARD is affiliated with the following medical group(s):
  • HOSPITAL
    • ST PETER'S HOSPITAL
      315 SOUTH MANNING BOULEVARD
      ALBANY, NY 12208
  • HOME HEALTH AGENCY
    • WILLCARE CHHA (NEWBURGH)
      700 CORPORATE BOULEVARD
      NEWBURGH, NY 12550
  • HOSPICE
    • COMMUNITY HOSPICE, INC, THE
      445 NEW KARNER ROAD
      ALBANY, NY 12205

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