National Provider Identifier Database

BRETT W GOUDIE, MD – NPI #1679627798
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

BRETT W GOUDIE, MD
1 HOPPIN ST
CORO BUILDING
PROVIDENCE, RI02903-4141
Phone: 401-444-4612
Fax: 401-793-8831
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for BRETT W GOUDIE

NPI Number 1679627798
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 05/03/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • DE License #: C10008082
  • MD License #: D0068007
  • PA License #: MD429590
  • RI License #: RI13511
  • MD Medicaid: 4110510
  • NJ Medicaid: 109592
  • PA Medicaid: 101712508
  • VA Medicaid: 1679627798
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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