Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Glenn Lee Goodhart, M.D.

Internal Medicine Physician in Davenport, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568481356

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Registry record

Entity type Individual (Type 1)

Name Dr. Glenn Lee Goodhart

Credential M.D.

Sex Male

Practice address Davenport, FL, 33837

Phone (863) 422-4971

Fax (863) 419-2264

Enumeration date Jul 19, 2006

Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD-43462 (IA) Primary

174400000X Specialist Other Service Providers · License D29594 (GA) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License ME116577 (FL) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 19386 (GA) Secondary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License MD034685L (PA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00213694A	Medicaid	GA	-
019386	Other	GA	LICENSE NUMBER
85001797G	Other	GA	GEORGIA BETTER HEALTHCARE
854101	Other	GA	CIGNA ID NUMBER
2027755	Other	GA	AETNA US GROUP NUMBER
9206456	Other	GA	UNITED HEALTHCARE ID
52241370	Other	GA	BCBS PROVIDER NUMBER
52241370	Other	GA	STATE HEALTH BENEFIT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Glenn Goodhart?

Glenn Goodhart is registered in NPPES with the primary taxonomy of Internal Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.