Active NPIIndividual provider

Dr. Bryan D Goldberg, MD

Emergency Medicine in Bristol, Connecticut

NPI Number1003914102
Practice location
41 Brewster RD, Bristol, CT 06010-5161
Fax
860-585-3910
Last updated
November 1, 2007

Bryan Douglas Goldberg is an Emergency Medicine based in Bristol, CT. Bryan Douglas Goldberg practices in Bristol, CT and has the professional credentials of MD. The NPI Number for Bryan Douglas Goldberg is 1003914102 and holds a License No. 034419 (CT). The current practice location address for Bryan Douglas Goldberg is 41 Brewster RD, Bristol, CT 06010-5161 and can be reached out via phone at 860-585-3433 and via fax at 860-585-3910.

Provider Profile Details

NPI Number
1003914102
Provider Name
Bryan Douglas Goldberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
41 Brewster RD, Bristol, CT 06010-5161
Phone Number
860-585-3433
Fax Number
860-585-3910
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
November 1, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Brewster RD
Bristol, CT 06010-5161
Zip
06010-5161
Phone Number
860-585-3433
Fax Number
860-585-3910
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
Po Box 2699
Dept 200
Hartford, CT 06146-2699
City
Hartford
State
CT
Zip
06146-2699
Phone Number
086-689-8713

License Information

License Number
034419
License State
CT
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bryan D Goldberg, MD?

The NPI number of Dr. Bryan D Goldberg, MD is 1003914102. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bryan D Goldberg, MD?

Dr. Bryan D Goldberg, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 034419.

Where does Dr. Bryan D Goldberg, MD practice?

The practice location is 41 Brewster RD, Bristol, CT 06010-5161. The office can be reached at 860-585-3433 (phone) or 860-585-3910 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003914102 directly on the NPPES registry website.

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