Individual provider Active NPI

Brian Lawrence Goodwin, DPM

  • Podiatrist
  • Shelby Township, MI
National Provider Identifier
1124027321
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400156 Issued in MI
Practice address
50505 Schoenherr Rd Ste 230
Shelby Township, MI 48315-3140
Phone
(248) 651-0008
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901400156 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd Ste 230
Shelby Township, MI 48315-3140

Mailing address

8175 Carpathian Dr
White Lake, MI 48386-4554
Phone (248) 860-5769

Other identifiers 3

IdentifierTypeStateIssuer
1906797MedicaidMI
485505278OtherBX
4661520001OtherDMERK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000764 MI Practitioner - Podiatry 0345365318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 230
Shelby Township, MI 48315-3140
Phone (248) 651-0008

8175 Carpathian Dr
White Lake, MI 48386-4554

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions14
Removal of nail tissue141
Removal or shaving of skin growth56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400156MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Goodwin DPM PC CurrentSince Jul 3, 1986 Accepting new patients

Locations

50505 Schoenherr Rd
Ste 230
Shelby Township, MI 48315
Phone (586) 580-3728

4737 24 Mile Rd
Ste 2
Shelby Township, MI 48316
Phone (248) 651-0008

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1124027321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 CARPATHIAN DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864554",
            "telephone_number": "248-860-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 230",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "248-651-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "BRIAN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906797",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX",
            "identifier": "485505278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERK",
            "identifier": "4661520001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.