Active NPIIndividual providerSole proprietor

Dr. Bruce I Goderez, MD

Psychiatry & Neurology, Psychiatry in Hadley, Massachusetts

NPI Number1023165503
Practice location
8 River Dr, Hadley, MA 01035-3540
Fax
413-582-6855
Last updated
October 10, 2012

Bruce I Goderez is a Psychiatry & Neurology, Psychiatry based in Hadley, MA. Bruce I Goderez practices in Hadley, MA and has the professional credentials of MD. The NPI Number for Bruce I Goderez is 1023165503 and holds a License No. 50762 (MA). The current practice location address for Bruce I Goderez is 8 River Dr, Hadley, MA 01035-3540 and can be reached out via phone at 413-582-1839 and via fax at 413-582-6855.

Provider Profile Details

NPI Number
1023165503
Provider Name
Bruce I Goderez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8 River Dr, Hadley, MA 01035-3540
Phone Number
413-582-1839
Fax Number
413-582-6855
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 5, 2007
Last Update Date
October 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 River Dr
Hadley, MA 01035-3540
City
Hadley
Zip
01035-3540
Phone Number
413-582-1839
Fax Number
413-582-6855
Hadley, MA 01035Get directions →

Provider Business Mailing Address Details

Address
Po Box 380
8 River Dr.
Hadley, MA 01035-0380
City
Hadley
State
MA
Zip
01035-0380
Phone Number
413-582-1839
Fax Number
413-582-6855

License Information

License Number
50762
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bruce I Goderez, MD?

The NPI number of Dr. Bruce I Goderez, MD is 1023165503. It was assigned on January 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce I Goderez, MD?

Dr. Bruce I Goderez, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 50762.

Where does Dr. Bruce I Goderez, MD practice?

The practice location is 8 River Dr, Hadley, MA 01035-3540. The office can be reached at 413-582-1839 (phone) or 413-582-6855 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023165503 directly on the NPPES registry website.

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