Organization Active NPI

Alan P Goldberg MD PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1427127398
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047658 Issued in MI
Legal business name
ALAN P GOLDBERG MD PC
Practice address
1284 S Linden Rd
Flint, MI 48532-3407
Phone
(810) 244-8816
Fax
(810) 733-8613
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Alan P Goldberg, MDNPI 1265487466
Title
Owner
Phone
(810) 244-8816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301047658 MI Primary

Addresses

Primary practice location

1284 S Linden Rd
Flint, MI 48532-3407

Mailing address

PO Box 320295
Flint, MI 48532-0005
Phone (810) 244-8816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000013 MI Part B Supplier - Clinic/Group Practice 6002872421 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

4437 Morrish Rd
Swartz Creek, MI 48473
Phone (810) 342-1231

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1427127398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320295",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485320005",
            "telephone_number": "810-244-8816",
            "fax_number": "810-733-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-244-8816",
            "fax_number": "810-733-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN P GOLDBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-244-8816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.