Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Thomas Goedjen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912292657

Brent Thomas Goedjen, MD is a Dermatology in Roswell, Georgia. Graduated from University of South Alabama College of Medicine in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
15
Trained at
University of South Alabama College of Medicine
Licensed in
FL, GA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

135 Norcross St
Roswell, GA 30075-3867
Phone: (678) 870-2020
Fax: (262) 203-9631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 73450 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dermatology Physician Taxonomy 207N00000X · Licence ME114104 (FL)

Record details

NPI number1912292657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2011
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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