| Brian Goodman, MD | |
|
201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 | |
| (952) 892-2021 | |
| (952) 892-2670 |
| Full Name | Brian Goodman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386611564 | NPI | - | NPPES |
| 45985 | Other | MN | MEDICAL LICENSE |
| 303674000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 55046-020 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 45985 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Em Sc | 2466814538 | 48 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
| Entity Name | Emergency Medicine Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
| Entity Name | Thedacare Medical Center - New London, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Entity Name | Vituity-wisconsin Em Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Goodman, MD 7301 Ohms Lane, Suite 650, Edina, MN 55439 Ph: (952) 835-9880 | Brian Goodman, MD 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 Ph: (952) 892-2021 |
Viorel Guter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200 | |
Thomas Egger Sr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Michele Richardson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Allison Heimer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Wenlan Cheng, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Fv Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Dr. Michael Gene Peterson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E. Nicollet Blvd., Burnsville, MN 55337 Phone: 612-889-5480 |