David B. Goldberg, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME32733 Issued in FL

Legal business name

DAVID B. GOLDBERG, MD, PA

Practice address

6010 A1A S
St Augustine, FL 32080-7018

Phone

(904) 461-5080

Fax

(904) 217-0840

NPI assigned

Nov 13, 2006

Last updated

May 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Goldberg, MDNPI 1043381262

Title

Owner

Phone

(904) 461-5080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Brett Goldberg, M.D.

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1043381262
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1073684916",
    "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": {
        "organization_name": "DAVID B. GOLDBERG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-461-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME32733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varduhi Danielyan
• Danita Thomas Heagy, D.C., LLC
• Linda Darr
• Morgan Dale Dashiell
• Mandana Davani, M.D.
• David B. Tuchinsky, D.C., PLLC
• David J Gross MD PA
• David M Bortnick PHD Psy D PA
• David M Feazell PHD P a
• Alberto G David, D.M.D.

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.