person
Bradley Goldenberg, MD
Neonatal-Perinatal Medicine Physician in Gulfport, Mississippi
NPI 1477595239

Bradley Goldenberg is a Neonatal-Perinatal Medicine Physician based in Gautier, MS and is specialized in Neonatal-Perinatal Medicine. Bradley Goldenberg practices in Gulfport, MS and has the professional credentials of MD. The NPI Number for Bradley Goldenberg is 1477595239 and holds a License No. 01070390A (Mississippi).

The current practice location address for Bradley Goldenberg is 15200 Community Rd, Gulfport, MS and can be reached out via phone at 228-575-7022 and via fax at 228-575-7097.

Location: 15200 Community Rd, Gulfport, MS, 39553-5340
person
Provider Profile Details
NPI Number
1477595239
Provider Name
Bradley Goldenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15200 Community Rd, Gulfport, MS, 39553-5340
Phone Number
228-575-7022
Fax Number
228-575-7097
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1J4304 05 MS
1L7105 05 MS
036074881 05 IL
01070390A 01 IN IN STATE LICENSE
100098179 05 WI
01070390B 01 IN CSR
000001071268 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
15200 Community Rd
City
State
Zip
39503-3085
Phone Number
228-575-7022
Fax Number
228-575-7097
person
Provider Business Mailing Address Details
Address
15200 Community Rd
City
State
Zip
39503-3085
Phone Number
228-575-7022
Fax Number
228-575-7097
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
License No.
01070390A (Indiana)
Definition
A pediatrician who 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.
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