Provider Type Icon

BRUCE A GOLDBERG MD NPI 1568565190


NPI Information

NPI: 1568565190
Provider Name: BRUCE A GOLDBERG, MD
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

PECOS Registration: Yes

Address:
85 CONSTITUTION LANE
STE 200C LIBERTY TREE PARK
DANVERS, MA
ZIP 01923
Phone: (978) 750-3670
Get Directions

Bruce A Goldberg, MD is a geriatric psychiatry psychiatry neurology in Danvers, MA with 45 years of experience. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. Bruce A Goldberg, MD NPI is 1568565190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1979

The provider's business location address is:

85 CONSTITUTION LANE
STE 200C LIBERTY TREE PARK
DANVERS, MA
ZIP 01923
Phone: (978) 750-3670
Fax: (978) 750-3606

The NPI 1568565190 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90833)

The enumeration date for this NPI number is 9/7/2006 and was last updated on 5/27/2008.


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
12084P0800XPsychiatry & NeurologyPsychiatry46504MASSACHUSETTSNo
22084P0805XPsychiatry & NeurologyGeriatric Psychiatry46504MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13015149MEDICAIDMASSACHUSETTS
2V02758MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
3046504OTHERMASSACHUSETTSTUFTS
4V02758MEDICARE PINMASSACHUSETTS
5V02758OTHERMASSACHUSETTSBLUE CROSS

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

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.