Individual provider Active NPI

Brian Goodman

  • Allergy Physician
  • Boca Raton, FL
National Provider Identifier
1285138768
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME161212 Issued in FL
Practice address
9970 Central Park Blvd.
Suite 302
Boca Raton, FL 33428-2237
Phone
(561) 883-6400
Fax
(305) 279-5899
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME0161212 FL
Allergy Physician 207KA0200X ME161212 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd.
Suite 302
Boca Raton, FL 33428-2237

Mailing address

7800 SW 87TH Ave Ste C-340
Miami, FL 33173-3570
Phone (305) 595-0109

Other practice location 1

5507 S Congress Ave Ste 140
Atlantis, FL 33462-1139
Phone (561) 965-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819002825 FL Practitioner - Allergy/Immunology 1254679970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Associates of FL PAGroup PAC ID 1951397892, 18 clinicians

Practice addresses (Care Compare)

9970 Central Park Blvd N
Suite 302
Boca Raton, FL 33428-2237
Phone (561) 883-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0161212FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Associates of FL PA Single Specialty CurrentSince Feb 25, 2025 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 302
Boca Raton, FL 33428
Phone (561) 477-7500

2021 E Commercial Blvd
Ste 302
Ft Lauderdale, FL 33308
Phone (954) 463-6408

2021 E Commercial Blvd
Ste 305
Ft Lauderdale, FL 33308
Phone (954) 492-5525

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1285138768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE C-340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-595-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD.",
            "address_2": "SUITE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-883-6400",
            "fax_number": "305-279-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5507 S Congress Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621139",
            "country_code": "US",
            "telephone_number": "561-965-6685",
            "fax_number": "305-279-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0161212",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME161212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.