NPI age
17 years
Enumerated 2009-04-16
● Active
Type 1 · Individual
Angelique Annette Brannon-Goedeke, M.D.
Brannon-Goedeke is 1 of 47 obstetrics & gynecology providers in Tyler and 1 of 4633 in Texas.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
TX, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-02-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4633 active obstetrics & gynecology providers in Texas.
NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Practice location
733 S Fleishel Ave
Tyler, TX 757012015
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (LA) | 317984YNOH | MEDICARE PTAN |
| 05 (LA) | 1974153 | |
| 01 (TX) | 8GM837 | BCBS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.