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

Glenn Goodwin, DO

Individual provider Emergency Medicine Physician · NPI 1275161036

Glenn Goodwin, DO is an Emergency Medicine in Aventura, Florida. Qualified in 2020, 6 years ago. Practices with Midwest Emergency Grand Island Inc, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
6
Licensed in
FL, KY
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone: (305) 682-2483
Fax: (305) 682-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 E Chestnut St, Louisville, KY 40202-1831 — (502) 629-8000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS19803 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence TP220 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275161036
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address20900 Biscayne Blvd, Aventura, FL 33180-1407

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Midwest Emergency Grand Island Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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