BRUCE A GOLDBERG


Address: 85 Constitution Lane, Ste 200c Liberty Tree Park, Danvers, MA 01923
Phone: 9787503670

BRUCE A GOLDBERG (NPI# 1568565190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568565190
Entity Type Individual
Full Name BRUCE A GOLDBERG
Credential MD
Practice Address 85 Constitution Lane
Ste 200c Liberty Tree Park
Danvers
MA 01923
Mailing Address 85 Constitution Ln
Suite 200c
Danvers
MA 01923-3694
Practice Telephone 9787503670
Practice Fax Number 9787503606
Mailing Telephone 9787503670
Mailing Fax Number 9787503606
Enumeration Date 2006-09-07
Last Update Date 2008-05-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
46504 MA Allopathic & Osteopathic Physicians
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
46504 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS V02758 01
MA TUFTS 046504 01
MA 3015149 05

Other Providers BRUCE GOLDBERG

NPI Name Taxonomy Address Enumeration
1700080181 Bruce Alan Goldberg Dentist 611 Frederick Rd., Suite 101a, Catonsville, MD 21228-4779 2007-06-12
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1649286832 Bruce S Goldberg Pharmacist 1314 Ridgewood Ave, Omaha, NE 68124-1315 2006-07-31
1679637169 Bruce A Goldberg Chiropractor 600 University Blvd, Ste 105, Jupiter, FL 33458-2778 2006-12-20
1699834200 Bruce J. Goldberg Allergy & Immunology 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 2006-12-08
1417957226 Bruce J Goldberg Orthopaedic Surgery 1555 Barrington Rd, Ste 205, Hoffman Estates, IL 60169-1063 2005-07-22

Office Location

Street Address 85 CONSTITUTION LANE
STE 200C LIBERTY TREE PARK
City DANVERS
State MA
Zip Code 01923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770950321 Abby Svenson Counselor 85 Constitution Lane, Suite 300a, Danvers, MA 01923 2015-08-31
1477608305 Linda J Massod Dmdpc Dentist 85 Constitution Lane, Suite 2g, Danvers, MA 01923 2007-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558902320 Amanda Ashley Harting Social Worker 111 Middleton Road, Danvers, MA 01923 2019-10-03
1407400641 Tom Biggart Clinic/Center 110 Newbury St, Danvers, MA 01923 2019-07-25
1669958252 Marie Marguerite Peloquin Internal Medicine 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 2018-07-17
1033604079 Vanessa Lynne Rachels Social Worker 110 Middleton Rd, Danvers, MA 01923 2018-06-22
1376036517 Meredith A Biggart Dietitian, Registered 110 Newbury St Ste E, Danvers, MA 01923 2018-06-12
1528569431 Alaina Alderman Behavioral Analyst 1 Southside Rd, Danvers, MA 01923 2018-02-26
1023536661 Rachel Anne Ziner Specialist/Technologist 49 Reservoir Dr, Danvers, MA 01923 2017-09-05
1770004780 Sierra Mclear Developmental Therapist 6 Southside R.d, Danvers, MA 01923 2017-06-29
1316479660 Beth Israel Lahey Health Primary Care, Inc. Clinic/Center 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 2017-03-28
1548791890 Joseph Chenvert Massage Therapist 227 Newbury Street, Danvers, MA 01923 2017-03-27
Find all providers in zip 01923

Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629384995 Aaron Koenig Psychiatry & Neurology 178 Oakland St, Wellesley, MA 02481-5323 2010-08-25
1649306077 Mark I. Frankel Psychiatry & Neurology 148 Linden St Ste 109, Wellesley, MA 02482-7916 2007-02-27
1790850410 Sorgi Associates, PC Psychiatry & Neurology 142 North Rd Ste F105, Sudbury, MA 01776-1142 2006-11-21
1316958093 Moak Geriatric Psychiatry Psychiatry & Neurology 5206 Union St Bldg 500, Westborough, MA 01581-5418 2006-08-10
1285670471 Merrimack Psychiatric Associates, PC Psychiatry & Neurology Merrimack Valley Hospital, Abu, 140 Lincoln Ave, Haverhill, MA 01830 2006-06-22
1346281961 Bruce Kaster Psychiatry & Neurology 60 Kendrick St, Ste 204, Needham, MA 02494-2726 2006-06-08
1831149244 John Stuart Looper Psychiatry & Neurology 122 Ward St, Chestnut Hill, MA 02467-1029 2006-05-10
1619939287 Katharine Poole Wolf Psychiatry & Neurology 521 Mt Auburn St, Ste 109, Watertown, MA 02472 2006-04-06
1437137346 Robert B Portney Psychiatry & Neurology 6 Hearthstone Pl, Andover, MA 01810-5421 2006-01-03
1457342420 Samir Pravinchandra Patel Psychiatry & Neurology 365 East St, Tewksbury, MA 01876-1950 2005-10-31
Find all providers with the same taxonomy

Competitor

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City DANVERS
Zip Code 01923

Improve Information

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Dataset Information

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.

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