MEDICARE: DR. THOMAS M GOODMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	AL14383	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51517723	OTHER	AL	BLUE CROSS AND BLUE SHIEL

General Provider Information

NPI Number	:	1609874882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS M GOODMAN M.D.

Provider Business Mailing Address
First Line	:	300 TWINING ST BLDG 760
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36112-6027
Country	:	US
Telephone Number	:	334-953-5143
Fax Number	:	334-953-8607

Provider Business Practice Location Address
First Line	:	300 TWINING ST BLDG 760
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36112-6027
Country	:	US
Telephone Number	:	334-953-5143
Fax Number	:	334-953-8607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/26/2014

Similar Medicare Providers

1750371712 — MS. PATRICIA L CORNWELL
Practice Location Address:

300 TWINING ST BLDG 760
MONTGOMERY, AL
36112-6027

Practice Phone: 334-953-8833
Practice Fax: 334-953-5272

1083604110 — MINE OYA OZKAZANC MD
Practice Location Address:

300 TWINING ST , BLDG 760
MONTGOMERY, AL
36112-6027

Practice Phone: 333-495-3926
Practice Fax: 334-953-8607

1225090103 — MRS. DAPHNE ANITA ESSEX NP
Practice Location Address:

300 TWINING ST BLDG 760
MONTGOMERY, AL
36112-6027

Practice Phone: 334-953-5200
Practice Fax:

1144318932 — MS. AMY KEMP WELLMEIER LCSW-C
Practice Location Address:

300 TWINING ST
MONTGOMERY, AL
36112-6027

Practice Phone: 334-953-5430
Practice Fax:

1255410932 — DR. GLORIA MURPHY HOLT DMD
Practice Location Address:

300 TWINING ST BLDG 300
MONTGOMERY, AL
36112-6027

Practice Phone: 334-953-5200
Practice Fax: 334-953-8607

1023161791 — DR. JUSTIN E SANDHOLM O.D.
Practice Location Address:

42D MEDICAL GROUP , 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL
36112-6027

Practice Phone: 334-953-5200
Practice Fax:

Directions to “ DR. THOMAS M GOODMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.