Bradley Goldenberg, MD
Pediatrics, Neonatal-Perinatal Medicine in Gulfport, MS. Individual provider (NPI-1).
NPI number1477595239
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1477595239
- Entity type
- Individual (NPI-1)
- Name
- Bradley Goldenberg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Certification date
- Feb 22, 2022
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 28322 | MS | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 01070390A | IN | |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 674 | WI | |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 329609 | LA | |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 036074881 | IL |
Practice location
15200 Community RdGulfport, MS 39503-3085
Phone 228-575-7022 · Fax 228-575-7097
Mailing address
2101 Highway 90Gautier, MS 39553-5340
Phone 228-497-7576 · Fax 228-497-8869
Other practice locations
2700 Napoleon Ave
New Orleans, LA 70115-6914
New Orleans, LA 70115-6914
Phone 504-842-3650 · Fax 504-894-2086
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