Individual provider Active NPI

Bradly Sean Goodman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
National Provider Identifier
1295708584
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
00018155 Issued in AL
Practice address
1801 Gadsden Highway
Birmingham, AL 35235-3134
Phone
(205) 838-3900
Fax
(205) 838-3906
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME120607 FL
Physical Medicine & Rehabilitation Physician 208100000X 00018155 AL Primary

Addresses

Primary practice location

1801 Gadsden Highway
Birmingham, AL 35235-3134

Mailing address

1801 Gadsden Highway
Birmingham, AL 35235-3134
Phone (205) 838-3900

Other practice location 1

315 N Lakemont Ave
Winter Park, FL 32792-3205
Phone (205) 838-3900

Other identifiers 2

IdentifierTypeStateIssuer
23043MedicaidAL
51023043OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100804000718 AL Practitioner - Physical Medicine and RehabilitationPractitioner - Sports MedicinePractitioner - Pain Management 8224161708 Reassigns benefits to 1 organization
I20231116003699 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8224161708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management, Sports Medicine
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

118 Mars Hill Rd
Hoover, AL 35244-3904
Phone (205) 228-7600

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

201 Doug Baker Blvd
Hoover, AL 35242-2013
Phone (205) 408-0700

315 N Lakemont Ave
Winter Park, FL 32792-3205
Phone (205) 838-3900

Hospital & facility affiliations

  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018155ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Orthopedic Spine & Sports Medicine Associates P C Physical Medicine & Rehabilitation CurrentSince Nov 8, 1996 Accepting new patients
Goodman Mallempati & Associates LLC Current Accepting new patients

Locations

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

52 Medical Park Dr E
Ste 115
Birmingham, AL 35235
Phone (205) 838-3900

118 Mars Hill Rd
Hoover, AL 35244
Phone (205) 228-7600

315 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 622-2030

Networks

  • bcbs alabama network 01E0
  • bcbs alabama network 01G0
  • bcbs alabama network 01I0
  • bcbs alabama network 01C0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0

Interoperability endpoints

  • Direct secure messaging: bgoodman@orthoalabama.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1295708584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HIGHWAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HIGHWAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N Lakemont Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923205",
            "country_code": "US",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BRADLY",
        "middle_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME120607",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "00018155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23043",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51023043",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.