Individual provider Active NPI

Brian Howard Goldman, DO

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1245699446
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS17260 Issued in FL
Practice address
300 Riverside Dr E Ste 1500
Bradenton, FL 34208-1031
Phone
(941) 741-3338
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS17260 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5101026195 MI
General Practice Physician 208D00000X OS17260 FL
Orthopaedic Surgery Physician 207X00000X OS17260 FL Primary

Addresses

Primary practice location

300 Riverside Dr E Ste 1500
Bradenton, FL 34208-1031

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7539

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
I20220208002899 FL Practitioner - Orthopedic Surgery 0244523264 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17260FLMDOrthopaedic Surgery Physician
5101026195MIMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Sunwave Woundcare LLC General Practice CurrentSince May 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Sunwave Woundcare General Practice PastSince May 11, 2025 Accepting new patients

Locations

300 Riverside Dr E
Ste 1500
Bradenton, FL 34208
Phone (941) 714-3338

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: brian.goldman.1@31266.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1245699446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 1500",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081031",
            "telephone_number": "941-741-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BRIAN",
        "middle_name": "HOWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "OS17260",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "5101026195",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS17260",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS17260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.