DR. BRADLEY SAMUEL GOLDBERG (NPI# 1164765244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164765244 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY SAMUEL GOLDBERG |
| Credential | M.D. |
| Practice Address |
4650 W Sunset Blvd # 113 Los Angeles CA 90027-6062 |
| Mailing Address |
4650 Sunset Blvd Ms# 113 Los Angeles CA 90027-6062 |
| Practice Telephone | (323) 361-2109 |
| Practice Fax Number | 3233613891 |
| Mailing Telephone | 3233612109 |
| Mailing Fax Number | 3233613891 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
A147964 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447348826 | Bradley Gordon Goldberg | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-10-10 |
| 1740236884 | Bradley Dean Goldberg | Optometrist | 4470 Highland Rd, Waterford, MI 48328-1222 | 2006-05-26 |
| 1477896967 | Bradley Harris Goldberg | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2013-04-03 |
| Street Address |
4650 W SUNSET BLVD # 113 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548430135 | Karen Hovav | Pediatrics | 4650 W Sunset Blvd # 113, Los Angeles, CA 90027-6062 | 2008-03-10 |
| 1841619830 | Sarah Jane Levine | Pediatrics | 4650 W Sunset Blvd # 113, Los Angeles, CA 90027-6062 | 2014-04-07 |
| 1831536499 | Pradip Chaudhari | Pediatrics | 4650 W Sunset Blvd # 113, Los Angeles, CA 90027-6062 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
| 1902250855 | Katherine Gitz | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-04-18 |
| 1255728317 | Lucille Uber | Emergency Medicine | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2015-04-16 |
| 1538569215 | Ariya Nu Chau | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-08-29 |
| 1780098194 | Natasha Gill | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-06-13 |
| 1407273345 | Robert Daniel Guglielmo | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2014-03-27 |
| 1922430610 | Neelam Patel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-08-05 |
| 1245572965 | Krysten Allana Chin | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-03-20 |
| 1336406974 | Danielle L Levitt | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2012-04-20 |
| 1659518884 | Jon A Detterich | Emergency Medicine | 4650 W Sunset Blvd, Ms #113, Los Angeles, CA 90027-6062 | 2009-01-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on DR. BRADLEY SAMUEL GOLDBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.