DR. BRADLEY G GOODSON (NPI# 1558569442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558569442 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY G GOODSON |
| Credential | M.D. |
| Practice Address |
519 Latham Dr Lowell AR 72745-8360 |
| Practice Telephone | 4797500125 |
| Practice Fax Number | 4797500323 |
| Mailing Telephone | 4797500125 |
| Mailing Fax Number | 4797500323 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-7396 | AR | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47546 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
E-7396 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
519 LATHAM DR |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-8360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030295 | Jerie Beth Karkos | Pediatrics | 519 Latham Dr, Lowell, AR 72745-8360 | 2005-11-17 |
| 1245861509 | Phebe Grothaus | Licensed Practical Nurse | 519 Latham Dr, Lowell, AR 72745-8360 | 2020-01-27 |
| 1518505833 | Sydni Anderson | Registered Nurse | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-12-17 |
| 1659922417 | Lindsey Carnes | Psychologist | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-09-24 |
| 1902459399 | Johanna Puff | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-07-24 |
| 1629541214 | Allison Hughes | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-01-07 |
| 1700368578 | Danielle Umland Randall | Psychologist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-08-29 |
| 1013498955 | Tami Scott | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-08-28 |
| 1558856393 | Kaylie Camille Hernandez | Day Training/Habilitation Specialist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-06-25 |
| 1417453598 | Brandy Thompson | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275709545 | Crystal L. Deweese | Psychiatry & Neurology | 515 Enterprise Dr, Lowell, AR 72745-8975 | 2008-05-06 |
| 1700928231 | Martin Victor Hart | Psychiatry & Neurology | 10 Bridge St, Arbor Health Systems, Lowell, MA 01852-1201 | 2007-02-13 |
| 1972558799 | Laura E Musikant-weiser | Psychiatry & Neurology | 99 Church St, Lowell, MA 01852-2621 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285189290 | John C. Leach, Md Pllc | Psychiatry & Neurology | 75 Wellington Colony Dr, Little Rock, AR 72211-2089 | 2016-08-19 |
| 1326350885 | Nihit Kumar | Psychiatry & Neurology | 4301 W Markham St # 589, Little Rock, AR 72205-7101 | 2010-07-12 |
| 1457679011 | Kelsey L.m. Mcclellan | Psychiatry & Neurology | 124 W Capitol Ave, Suite 1900, Little Rock, AR 72201-3704 | 2010-05-06 |
| 1043331010 | Samuel Tyler Armstrong Bayles | Psychiatry & Neurology | 700 S Schiller St, Little Rock, AR 72201-4735 | 2007-04-03 |
| 1548381510 | Kathryn A Panek | Psychiatry & Neurology | 74 W Sunbridge Dr, Suite 1, Fayetteville, AR 72703-1822 | 2007-04-03 |
| 1417082710 | Roger Lew Hiatt Jr. | Psychiatry & Neurology | 600 N 7th St, West Memphis, AR 72301-3235 | 2007-02-23 |
| 1467528026 | University of Arkansas for Medical Sciences | Psychiatry & Neurology | 11 Childrens Way # 854, Little Rock, AR 72202 | 2006-11-27 |
| 1801999289 | Thomas W Freeman | Psychiatry & Neurology | 3604 Central Avenue, Suite C, Hot Springs, AR 71913 | 2006-09-07 |
| 1689617417 | Norman I Snyder | Psychiatry & Neurology | 4253 N Crossover Rd, Suite 2, Fayetteville, AR 72703-4593 | 2006-06-13 |
| 1154370518 | Zarina Shah | Psychiatry & Neurology | 5905 Forest Pl, Centers for Youth and Families, Suite 210, Little Rock, AR 72207-5245 | 2006-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.