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DR. BRADLEY SAMUEL GOLDBERG M.D. NPI 1164765244


NPI Information

NPI: 1164765244
Provider Name: DR. BRADLEY SAMUEL GOLDBERG, M.D.
Classification: Emergency Medicine - 207PP0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
4650 W SUNSET BLVD # 113
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-2109
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DR. Bradley Samuel Goldberg, M.D. is a pediatric emergency medicine emergency medicine in Los Angeles, CA with 11 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. DR. Bradley Samuel Goldberg, M.D. NPI is 1164765244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 W SUNSET BLVD # 113
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-2109
Fax: (323) 361-3891

The NPI 1164765244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207PP0204XEmergency MedicinePediatric Emergency MedicineA147964CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.