NPI age
19 years
Enumerated 2006-06-26
● Active
Type 1 · Individual
Clyde Leroy Goodman, MD
Goodman is 1 of 34 general practice providers in Fort Worth and 1 of 2087 in Texas.
Primary specialty
General Practice
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-10-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2087 active general practice providers in Texas.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
4840 Bryant Irvin Ct., Suite 104
Fort Worth, TX 761077680
Mailing address
4840 Bryant Irvin Ct., Suite 104
Fort Worth, TX 761077680
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 034680101 |
Practice context
Solo or small practice. No 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.