David Brett Goldberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 32733 Issued in FL

Practice address

6010 A1A S
St Augustine, FL 32080-7018

Phone

(904) 461-5080

Fax

(904) 217-0840

NPI assigned

Nov 10, 2006

Last updated

May 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dgoldberg743051@direct.shands.ufl.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David B. Goldberg, MD, PA

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1073684916
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1043381262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807018",
            "telephone_number": "904-461-5080",
            "fax_number": "904-217-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807018",
            "telephone_number": "904-461-5080",
            "fax_number": "904-217-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DAVID",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 32733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068796100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacia Larose Godboldt, CNM
• Deborah Jean Goddard, ARNP
• Kristin Goebel
• David S Goins, PA
• Wynde Goins, PA-C
• Glenn Marshall Goldberg, PHD
• Allison Ann Goldfarb, CRNA
• Thomas Goldstein
• Goldwasser Urogynecology PLLC
• Steve Eric Goldwasser, MD

• Internal Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.