Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Brent Thomas Goedjen, M.D.

Dermatology Physician in Roswell, GA · enumerated 2011.

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

National Provider Identifier

1912292657

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Registry record

Entity type Individual (Type 1)

Name Brent Thomas Goedjen

Credential M.D.

Sex Male

Practice address 135 Norcross St, Roswell, GA, 30075

Phone (678) 870-2020

Fax (262) 203-9631

Enumeration date Jun 10, 2011

Last updated in NPPES Jul 22, 2022

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License ME114104 (FL) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 73450 (GA) 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
009270000	Medicaid	FL	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Brent Goedjen practice?

The practice location on file with NPPES is in Roswell, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Brent Goedjen?

The National Provider Identifier (NPI) for Brent Goedjen is 1912292657, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-22.