Active NPI
Charles J Goldman, MD
- Internal Medicine Physician
- Norfolk, VA
National Provider Identifier
1306811377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101018596
- Practice address
- 229 W Bute St
Ste 500
Norfolk, VA 23510 - Phone
- (757) 388-1063
- Fax
- (757) 388-1022
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101018596 | VA | Primary |
Addresses
Primary practice location
229 W Bute St
Ste 500
Norfolk, VA 23510
Mailing address
229 W Bute St
Ste 500
Norfolk, VA 23510
Phone (757) 388-1063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006025986 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101018596 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1306811377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W BUTE ST",
"address_2": "STE 500",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23510",
"telephone_number": "757-388-1063",
"fax_number": "757-388-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 W BUTE ST",
"address_2": "STE 500",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23510",
"telephone_number": "757-388-1063",
"fax_number": "757-388-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "CHARLES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101018596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006025986",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.