NPIMap

Organization Active NPI

Bernard Goldstein PA

  • Foot & Ankle Surgery Podiatrist
  • Brandon, FL
National Provider Identifier
1386824209
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0000369 Issued in FL
Legal business name
BERNARD GOLDSTEIN PA
Practice address
131 N Moon Ave
Suite 6
Brandon, FL 33510-4418
Phone
(813) 972-3338
Fax
(813) 977-9070
NPI assigned
Nov 8, 2007
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Bernard Leo Goldstein, DPMNPI 1831288554
Title
Owner
Phone
(813) 972-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO0000369 FL Primary

Addresses

Primary practice location

131 N Moon Ave
Suite 6
Brandon, FL 33510-4418

Mailing address

13615 Bruce B Downs Blvd
Suite 112
Tampa, FL 33613-4607
Phone (813) 972-3338

Other identifiers 1

IdentifierTypeStateIssuer
390033900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Bernard Goldstein PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

131 N Moon Ave
Ste 6
Brandon, FL 33510
Phone (813) 685-1354

13615 Bruce B Downs Blvd
Ste 112
Tampa, FL 33613
Phone (813) 972-3338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1386824209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134607",
            "telephone_number": "813-972-3338",
            "fax_number": "813-977-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N MOON AVE",
            "address_2": "SUITE 6",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104418",
            "telephone_number": "813-972-3338",
            "fax_number": "813-977-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD GOLDSTEIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-972-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0000369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390033900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.