Goodman, Donald Bruce

Goodman, Donald Bruce is an individual health care provider with primary practice located at 1450 Matthews Township Pkwy Suite 450, Matthews NC 28105-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodman, Donald Bruce can be contacted via phone (704) 384-8480.

Contact Information

Primary practice address
1450 Matthews Township Pkwy Suite 450 Matthews NC 28105-2387
Fax: (704) 384-8481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20659 North Carolina

Profile Details

NPI number 1912977190
LBN Legal business name Goodman, Donald Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 12th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912977190 NPPES
South Carolina MEDICAID N20659
South Carolina MEDICAID 8936219

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