Goodman, Bruce Randolph

Goodman, Bruce Randolph is an individual health care provider with primary practice located at 5651 Frist Blvd Ste. 201, Hermitage TN 37076-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Goodman, Bruce Randolph can be contacted via phone (615) 391-0800.

Contact Information

Primary practice address
5651 Frist Blvd Ste. 201 Hermitage TN 37076-2054
Phone: (615) 391-0800
Fax: (615) 391-0431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD0000014977 Tennessee

Profile Details

NPI number 1215923875
LBN Legal business name Goodman, Bruce Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215923875 NPPES
Tennessee Other MD0000014977 STATE ID NUMBER
Tennessee Other 0057723 STATE ID NUMBER

Popular Providers