Provider Demographics
NPI:1891911277
Name:GOODGAME, BEN RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:RICHARD
Last Name:GOODGAME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2249
Mailing Address - Country:US
Mailing Address - Phone:302-437-4565
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN-STANTON ROAD
Practice Address - Street 2:AMMON BUILDING, SUITE 2E70
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2249
Practice Address - Country:US
Practice Address - Phone:302-368-5515
Practice Address - Fax:302-733-6082
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEEI0305207R00000X
NC2015-01376207RP1001X
DEC1-0008404207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease