Provider Demographics
NPI:1154687911
Name:GOGGINS, BRIAN RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:RAY
Last Name:GOGGINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1050 REID PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1155
Mailing Address - Country:US
Mailing Address - Phone:765-939-7711
Mailing Address - Fax:765-939-1841
Practice Address - Street 1:1050 REID PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1155
Practice Address - Country:US
Practice Address - Phone:765-939-7711
Practice Address - Fax:765-939-1841
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01076325A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology