Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE WELLINGTON GOODMAN, MD
Active Sole ProprietorBLAKE WELLINGTON GOODMAN, MD is a Emergency Medicine healthcare provider located in SHREVEPORT, Louisiana. NPI 1447646351 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SHREVEPORT, LA
Registration Details
- NPI Number
- 1447646351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2015 (11.331376510794 yrs)
- Last Updated
- Aug 31, 2018
- License
-
309409 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 KINGS HWYEMSHREVEPORT, LA, 71103Browse LA providers · Browse ZIP 71103
- Phone
- 3186756632
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| WALTER E BOUNDS | MD | 1447254198 |
| DEBORAH FLETCHER | MD | 1699777011 |
| JOSEPH A FARQUHAR | MD | 1922000348 |
| FRED S WILLIS | MD | 1235131665 |
| JOHN W REEVES | MD | 1396737540 |
| BRIAN T DILLON | MD | 1114919362 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.