BRAD HENRY GOODMAN (M. D.) – Allergy & Immunology Physician, NPI 1407816432
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 ALLERGY/IMMUNOLOGY in GA
Provider Addresses for BRAD HENRY GOODMAN (M. D.)
2500 Starling St Ste 101
Brunswick, GA 315204266
Phone: (912) 354-6190
Fax: (912) 354-6172
Type: Location
119 Hill Pond Ln
Statesboro, GA 304580872
Phone: (912) 354-6190
Fax: (770) 615-6091
Type: Location
505 Eisenhower Dr
Savannah, GA 314062668
Phone: (912) 354-6190
Fax: (912) 354-6172
Type: Location
505, Eisenhower Drive, Highland Park, Savannah, Chatham County, Georgia, 31406, United States
SAVANNAH, GA 314062668
Phone: (912) 354-6190
Fax: (912) 354-6172
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,204.
Total Amount is formed as General ($1,204) + Research ($0) + Ownership ($0) = $1,204.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($269).
Total Amount
$1,204
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101129000167 | I | Allergy/Immunology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 2,480 | 31 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 461 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 165 | 124 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 31520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Nurse Practitioner | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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