Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN L GODDARD, MD
ActiveBRYAN L GODDARD, MD is a Family Medicine healthcare provider located in RAVENA, New York. NPI 1780678169 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RAVENA, NY
Registration Details
- NPI Number
- 1780678169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (20.926206311371 yrs)
- Last Updated
- Jan 18, 2018
- Licenses
-
2008004918 (MO)150318 (NY)
Practice Information
- Address
-
2524 ROUTE 9WRAVENA, NY, 121432804Browse NY providers · Browse ZIP 12143
- Phone
- 5187567390
- Fax
- 5187568030
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in RAVENA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. THERESA A SIRICO | DO | 1750471132 |
| MR. RICHARD W JONES | M.D. | 1770663791 |
| DR. PATRICK F CAULFIELD | M.D. | 1992880348 |
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.