NPI age
14 years
Enumerated 2011-06-10
● Active
Type 1 · Individual
Brent Thomas Goedjen, M.D.
Goedjen is 1 of 20 dermatology providers in Roswell and 1 of 483 in Georgia.
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 483 active dermatology providers in Georgia.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Practice location
135 Norcross St
Roswell, GA 300753867
Mailing address
135 Norcross St
Roswell, GA 300753867
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 009270000 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
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.