Individual provider Active NPI

David Goldgrab, D.O.

  • Interventional Cardiology Physician
  • Brandon, FL
National Provider Identifier
1144675331
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS16986 Issued in FL
Practice address
635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone
(813) 684-6000
Fax
(813) 654-9032
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X OS16986 FL Primary

Addresses

Primary practice location

635 Eichenfeld Dr
Brandon, FL 33511-5908

Mailing address

635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone (813) 684-6000

Other practice location 1

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

Other practice location 2

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5261

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210427002916 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6709170632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Palm Cardiovascular Associates LLCGroup PAC ID 8325328594, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

2300 S Congress Ave
Suite 105
Boynton Beach, FL 33426-7400
Phone (561) 515-0080

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal11
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16986FLMDInterventional Cardiology Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
South Palm Cardiovascular Associates LLC CurrentSince Aug 15, 2025 Accepting new patients
KND Development 59 LLC CurrentSince Jan 1, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Jan 1, 2021 Accepting new patients
Bay Area Cardiology Assoc. PA CurrentSince Aug 1, 2023 Accepting new patients
South Palm Cardiovascular Associates LLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

2300 S Congress Ave
Ste 105
Boynton Beach, FL 33426
Phone (561) 733-5001

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

635 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 684-6000

13550 S Jog Rd
Ste 204
Delray Beach, FL 33446
Phone (561) 637-4200

6238 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 278-1910

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

3920 Galen Ct
Sun City Center, FL 33573
Phone (813) 684-6000

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1144675331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115908",
            "telephone_number": "813-684-6000",
            "fax_number": "813-654-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115908",
            "telephone_number": "813-684-6000",
            "fax_number": "813-654-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "813-681-5551",
            "fax_number": "813-916-2944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "860-224-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDGRAB",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS16986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.