DAVID GOLDENBERG M.D. NPI 1063454171

NPI Information

NPI: 1063454171
Provider Name: DAVID GOLDENBERG, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3630 GUION RD
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 920-7139
Get Directions

David Goldenberg, M.D. is a diagnostic radiology radiology in Indianapolis, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. David Goldenberg, M.D. NPI is 1063454171. 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:

3630 GUION RD
INDIANAPOLIS, IN
ZIP 46222-616
Phone: (317) 920-7139

The NPI 1063454171 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 6/12/2006 and was last updated on 5/12/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	01023645	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01512422	OTHER	INDIANA	RAILROAD PTAN
2	100358570	MEDICAID	INDIANA
3	959090S7	MEDICARE PIN	INDIANA
4	P00176834	OTHER	INDIANA	RAILROAD MEDICARE
5	219950Y	MEDICARE PIN	INDIANA
6	266180555	MEDICARE PIN	INDIANA
7	D95261	MEDICARE UPIN	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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