| 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 |
| Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Emergency Physicians Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
| 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: Medicare Enrolled Practice Location: 201 E. Nicollet Blvd., Burnsville, MN 55337 Phone: 612-889-5480 |