IndividualActive
Brian Goodman, PA-C
NPI 1598059362 · Medical Physician Assistant · Minneapolis, MN
Provider details
- NPI number
- 1598059362
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
6401 France Ave S
Edina, MN 55435
Registry dates
- Enumerated
- 2011-06-08
- Last updated
- 2017-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.