Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801823083 Individual Practitioner Male Practitioner

Dr. Clyde Leroy Goodman , MD

General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Clyde Goodman, MD is a registered healthcare professional specializing in General Practice in Fort Worth, TX. Practice services are available at 4840 BRYANT IRVIN CT. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4840 Bryant Irvin Ct.
Suite 104

Fort Worth, TX 761077680

Telephone 8173354549
Fax 8173770970

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Fort Worth, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX D7984

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
034680101 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1588612501

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2012

Registered at 4840 BRYANT IRVIN CT., SUITE 104, FORT WORTH, TX 761077680 (Tel: 8173354549)

📍
Updated Business Mailing Address October 04, 2012

Registered at 4840 BRYANT IRVIN CT., SUITE 104, FORT WORTH, TX 761077680 (Tel: 8173354549)

👤
Provider Name / Credentials Updated October 04, 2012

Recorded as CLYDE GOODMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

General Practice (License #D7984 in TX)

🟢
Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801823083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2006
Last Update: October 04, 2012
Sole Proprietor: No

Mailing Address

4840 Bryant Irvin Ct., Suite 104

Fort Worth, TX 761077680

Phone: 8173354549

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.