Active NPI
Brandon Paul Goldenberg, PA-C
- Physician Assistant
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115603
- Practice address
- 8950 N Kendall Dr Ste 407W
Miami, FL 33176-2132 - Phone
- (786) 596-3876
- Fax
- (786) 533-9989
- NPI assigned
- Jan 20, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 19415 | FL | |
| Physician Assistant | 363A00000X | 9115603 | FL | |
| Physician Assistant | 363A00000X | PA9115603 | FL | Primary |
Addresses
Primary practice location
8950 N Kendall Dr Ste 407W
Miami, FL 33176-2132
Mailing address
PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 596-3876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BRA27876@cerner.directbaptisthealth.com |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220325002246 | FL | Practitioner - Physician Assistant | 0547655656 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baptist Health Medical Group Physicians LLC
Practice addresses (Care Compare)
6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928
6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600
6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000
8900 N Kendall Dr
Miami, FL 33176-2118
8950 N Kendall Dr
Suite 104W
Miami, FL 33176-2131
Phone (786) 596-3876
Hospital & facility affiliations
- Baptist Hospital of Miami
- Homestead Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 81.94
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19415 | FL | MD | Physician Assistant |
| 9115603 | FL | MD | Physician Assistant |
| PA9115603 | FL | MD | Physician Assistant |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Oncology LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- bra27876@cerner.directbaptisthealth.com
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Miami, FL
- NPI 1679978118
Hospital & facility affiliations 2
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": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1316699481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848054",
"telephone_number": "786-596-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 N KENDALL DR STE 407W",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762132",
"telephone_number": "786-596-3876",
"fax_number": "786-533-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "BRANDON",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "19415",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9115603",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115603",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BRA27876@cerner.directbaptisthealth.com",
"affiliation": "N",
"address_1": "8950 N Kendall Dr Ste 407W",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331762132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.