Bradley Goldenberg
MD | Pediatric Neonatal-Perinatal Medicine | Male
Bradley Goldenberg, MD is a Gulfport, Mississippi based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Bradley Goldenberg is
15200 Community Rd, Gulfport, Mississippi - 39503-3085. He can be contacted on phone at
228-575-7022 and fax number 228-575-7097.
Bradley Goldenberg is a sole proprietor of his business.
NPI number (Unique professional ID) for Bradley Goldenberg is
1477595239 which was assigned by NPPES on 12 Jun, 2006 and it was last updated on 07 Mar, 2023.
Bradley Goldenberg license number is
28322 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in Mississippi.
Bradley Goldenberg is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Bradley Goldenberg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Bradley Goldenberg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Bradley Goldenberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15200 Community Rd
Gulfport, MS, 39503-3085
United States |
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| Phone Number : | 228-575-7022 |
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| Fax Number : | 228-575-7097 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477595239 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jun, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley Goldenberg are as mentioned. Primary taxonomy code for Bradley Goldenberg, MD is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 01070390A | IN |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 674 | WI |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 329609 | LA |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 036074881 | IL |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | 28322 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Bradley Goldenberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000001071268 | Other (non-Medicare) | IN | Anthem PIN |
| 01070390A | Other (non-Medicare) | IN | IN State License |
| 01070390B | Other (non-Medicare) | IN | CSR |
| 036074881 | MEDICAID | IL | |
| 100098179 | MEDICAID | WI | |
| 1J4304 | MEDICAID | MS | |
| 1L7105 | MEDICAID | MS | |
| F61484 | MEDICARE UPIN | IL | |
| L82334 | MEDICARE PIN | IL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2700 NAPOLEON AVE,
NEW ORLEANS, LA, 70115-6914
United States | NEW ORLEANS, LA | 504-842-3650 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2101 Highway 90
Gautier, MS, 39553-5340
United States |
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| Phone Number : | 228-497-7576 |
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| Fax Number : | 228-497-8869 |
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Business Location:
Patients can refer following map for directions to
Bradley Goldenberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.