Provider Demographics
NPI:1235457870
Name:GOODWIN, BRETT JARED (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:JARED
Last Name:GOODWIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:600 DR MICHAEL DEBAKEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5727
Mailing Address - Country:US
Mailing Address - Phone:337-436-3813
Mailing Address - Fax:337-439-0214
Practice Address - Street 1:600 DR MICHAEL DEBAKEY DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5727
Practice Address - Country:US
Practice Address - Phone:337-436-3813
Practice Address - Fax:337-439-0214
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2021-04-12
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Provider Licenses
StateLicense IDTaxonomies
LA304880207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology