Bruce Martin Goldstein, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

49083 Issued in MA

Practice address

195 Sessions St
Providence, RI 02906-3442

Phone

(401) 274-4578

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1326020215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SESSIONS ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063442",
            "telephone_number": "401-274-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SESSIONS ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063442",
            "telephone_number": "401-274-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 State Rd",
            "address_2": "Watuppa Building Suite 203",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027473322",
            "country_code": "US",
            "telephone_number": "508-994-0120",
            "fax_number": "508-996-9636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "BRUCE",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "49083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152692",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Goldpet, MD
• Dawn Marie Goldrick, D.P.T
• Ariel Goldschmidt, M.D.
• Cody Skylar Goldsmith, MD
• Danielle Goldsmith, LCSW, LCDP
• Carly Michelle Goldstein, PH.D.
• Jonah Goldstein
• Lisa Goldstein, M.D.
• Michael G. Goldstein, MD
• Sue-Rita Goldstein, LICSW

• Allergy & Immunology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Allergy & Immunology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.