Individual provider Active NPI

Howard Mark Goldberg, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1386653608
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20791 Issued in AL
Practice address
833 Saint Vincents Dr
Pob #3 Suite 402
Birmingham, AL 35205-1606
Phone
(205) 933-9236
Fax
(205) 933-9213
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20791 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr
Pob #3 Suite 402
Birmingham, AL 35205-1606

Mailing address

833 Saint Vincents Dr
Pob #3 Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236

Other identifiers 1

IdentifierTypeStateIssuer
000034710MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100913000452 AL Practitioner - Otolaryngology 3779677125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama, P.C. Otolaryngology CurrentSince Jan 1, 1987 Accepting new patients

Locations

833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540

1948 AL Highway 157
Ste 410
Cullman, AL 35058
Phone (205) 734-9370

1948 AL Highway 157
Ste 310
Cullman, AL 35058
Phone (205) 737-0368

Organizations & group practices 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1386653608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "POB #3 SUITE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "POB #3 SUITE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HOWARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "20791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000034710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.