Bearden, Brook Goff

Bearden, Brook Goff is an sole proprietor health care provider with primary practice located at 4340 Kings Way , Valdosta GA 31602-6921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bearden, Brook Goff can be contacted via phone (229) 333-9736.

Contact Information

Primary practice address
4340 Kings Way Valdosta GA 31602-6921
Phone: (229) 333-9736
Fax: (229) 333-0225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 56527 Georgia

Profile Details

NPI number 1750446506
LBN Legal business name Bearden, Brook Goff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Dec 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750446506 NPPES
Georgia Other P00355787 RAILROAD MEDICARE
Georgia MEDICAID 420420515A RAILROAD MEDICARE

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