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Blake Goodman, MD — NPI 1447646351, Shreveport, LA | NPI Central

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NPI 1447646351

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Blake Goodman, MD

NPI 1447646351 · Emergency Medicine Physician · Shreveport, LA

Provider details

NPI number: 1447646351
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense 309409 (LA)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1501 Kings Hwy

Em

Shreveport, LA 71103

Phone: (318) 675-6632

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

2600 Greenwood Rd

Shreveport, LA 71103-3908

Additional practice locations (2)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone: (907) 563-2662
1501 Kings Hwy
Em
Shreveport, LA 71103-4228
Phone: (318) 675-6632

Registry dates

Enumerated: 2015-04-08
Last updated: 2018-08-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.