Mark Adam Goddard, MD - Radiology in Pelham, AL

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Mark Adam Goddard, MD is a Radiology - Diagnostic Radiology physician based in Pelham, Alabama. Mark Adam Goddard is licensed to practice in Alabama (license number 00020013) and his current practice location is 2050 Oak Mountain Dr, Suite 7, Pelham, Alabama. He can be reached at his office (for appointments etc.) via phone at (205) 621-5780.

NPI number for Mark Adam Goddard is 1487606323 and his current mailing address is 2050 Oak Mountain Dr, Suite 7, Pelham, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487606323.

Contact Information

Mark Adam Goddard, MD
2050 Oak Mountain Dr, Suite 7,
Pelham, AL 35124-1368
(205) 621-5780
(205) 621-9780

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Physician's Profile

Full NameMark Adam Goddard
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2050 Oak Mountain Dr, Pelham, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487606323
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 02/19/2009

Medical Identifiers

Medical identifiers for Mark Adam Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487606323NPI-NPPES
051533737OtherALBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 00020013 (Alabama)Primary
2085R0202XRadiology - Diagnostic Radiology ME81700 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 049537 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301058407 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Adam Goddard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Adam Goddard, MD
2050 Oak Mountain Dr, Suite 7,
Pelham, AL 35124-1368

Ph: (205) 621-5780		Mark Adam Goddard, MD
2050 Oak Mountain Dr, Suite 7,
Pelham, AL 35124-1368

Ph: (205) 621-5780

Reviews and Comments


Radiology Doctors in Pelham, AL


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