Bruce Jay Goldman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13510 Issued in MA

Practice address

605 Broadway
Suite #301605 Broadway Ste 301
Saugus, MA 01906-3200

Phone

(781) 233-6844

Fax

(781) 233-1765

NPI assigned

Oct 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1093801698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BROADWAY",
            "address_2": "SUITE #301605 BROADWAY STE 301",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063200",
            "telephone_number": "781-233-6844",
            "fax_number": "781-233-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BROADWAY",
            "address_2": "SUITE #301605 BROADWAY STE 301",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063200",
            "telephone_number": "781-233-6844",
            "fax_number": "781-233-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BRUCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gerniglia, RN MSN AGNP-C
• Luis Fernando Gervasio-Flores, DMD
• Joseph Dominic Giunta, PHARM.D.
• Goldberg Family Chiropractic Corp
• Andrew Joseph Goldberg, DC
• Zachary Ethan Goldman, D.M.D.
• Jacinta A Grant, M.D.
• Greater Boston Eye Care, LLC
• Ralph E Green Jr., DDS
• Shannon Denice Griffith, LCSW

• General Practice Dentistry in Saugus, MA
• Providers in Saugus, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.