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Bryan L Goddard, MD

Family Medicine Physician in Ravena, NY · enumerated 2005.

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

National Provider Identifier

1780678169

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Registry record

Entity type Individual (Type 1)
Name Bryan L Goddard
Credential MD
Sex Male
Practice address 2524 Route 9w, Ravena, NY, 12143
Fax (518) 756-8030
Enumeration date Aug 31, 2005
Last updated in NPPES Jan 18, 2018

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2008004918 (MO) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 150318 (NY) Primary
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
6754C1 Other NY EMPIRE BC
4228179 Other NY AETNA
101115000088 Other NY FIDELIS
PRC110032213 Other NY CDPHP
00751111 Medicaid NY -
305800 Other NY SENIOR WHOLE HEALTH
642981 Other NY GHI/HMO

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

Is NPI 1780678169 active?
Yes, as of the latest NPPES snapshot, NPI 1780678169 is active (record last updated 2018-01-18).
How do I verify Bryan Goddard's NPI record?
Cross-check NPI 1780678169 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-18.