NPIMap

Individual provider Active NPI

Brian E Goldwasser, MD

  • Internal Medicine Physician
  • Lower Burrell, PA
National Provider Identifier
1114160298
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD436652 Issued in PA
Practice address
125 Logans Ferry Rd Ste 2
Lower Burrell, PA 15068-2048
Phone
(249) 944-7407
Fax
(724) 994-4745
NPI assigned
Apr 20, 2009
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD436652 PA Primary
Hospitalist Physician 208M00000X MD436652 PA

Addresses

Primary practice location

125 Logans Ferry Rd Ste 2
Lower Burrell, PA 15068-2048

Mailing address

125 Logans Ferry Rd
New Kensington, PA 15068-2048

Other identifiers 6

IdentifierTypeStateIssuer
2103533OtherPAHIGHMARK
P00732031OtherPARR MEDICARE
413063OtherPAUPMC
9768357OtherPAAETNA
102290092MedicaidPA
1581403OtherPAGATEWAY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000037 PA Practitioner - Internal Medicine 8820149479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Park St
Connellsville, PA 15425-2744
Phone (724) 603-2652

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD436652PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center CurrentSince Dec 10, 2023 Accepting new patients
Highlands Hospital and Health Center Internal Medicine CurrentSince Dec 10, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 16, 2023 Accepting new patients
Pittsburgh Care Partnership, Inc. PastSince Mar 28, 2021 Accepting new patients
Highlands Hospital and Health Center Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

700 Park St
Connellsville, PA 15425
Phone (724) 603-2652

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1114160298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LOGANS FERRY RD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150682048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LOGANS FERRY RD STE 2",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682048",
            "telephone_number": "249-944-7407",
            "fax_number": "724-994-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWASSER",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD436652",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD436652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2103533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00732031",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "413063",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9768357",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102290092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1581403",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

Verify at the official NPI Registry.