| Bruce A Goodman, M.d., P.c. | |
|
790 Newtown Yardley Rd Suite 420 Newtown PA 18940-1748 | |
| (215) 860-2424 | |
| (215) 860-3044 |
| Full Name | Bruce A Goodman, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 790 Newtown Yardley Rd, Newtown, Pennsylvania |
| Authorized Official Name and Position | Bruce A Goodman (PRESIDENT) |
| Authorized Official Contact | 2155983830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Goodman, M.d., P.c. 790 Newtown Yardley Rd Suite 420 Newtown PA 18940-1748 Ph: (215) 860-2424 | Bruce A Goodman, M.d., P.c. 790 Newtown Yardley Rd Suite 420 Newtown PA 18940-1748 Ph: (215) 860-2424 |
| NPI Number | 1932268471 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9436233343 |
|---|---|
| Medicare Enrollment ID | O20080229000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932268471 | NPI | - | NPPES |
| 926337 | Other | PA | IBC |
| 6570340 | Other | PA | CIGNA |
| 0873363001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 1196960 | Medicaid | PA | |
| 465902 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD039676E (Pennsylvania) | Primary |
| Provider Name | Bruce Alan Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801892120 PECOS PAC ID: 4082685888 Enrollment ID: I20040804001374 |
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