Active NPI
Robert A Goldberg, DC
- Chiropractor
- Ft Carson, CO
National Provider Identifier
1316930498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007714L
- Practice address
- 1650 Cochrane Cir Unit Meddac
Ft Carson, CO 80913-4604 - Phone
- (719) 526-7120
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007714L | PA | Primary |
Addresses
Primary practice location
1650 Cochrane Cir Unit Meddac
Ft Carson, CO 80913-4604
Mailing address
1650 Cochrane Circle Dept of Surgery/Chiropractic
Fort Carson Army Base
Ft Carson, CO 80913
Phone (724) 387-2455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1601699 | Other | PA | BCBS |
| 300293906 | Other | PA | COMMERCIAL |
| 001831390004 | Medicaid | PA | |
| 432048389 | Other | PA | COMMERCIAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007714L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1316930498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE DEPT OF SURGERY/CHIROPRACTIC",
"address_2": "FORT CARSON ARMY BASE",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "724-387-2455",
"fax_number": "724-387-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-526-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007714L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1601699",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "300293906",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001831390004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "432048389",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.