Individual provider Active NPI

Bennett S Goss, MD

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1447356894
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048530 Issued in CT
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-5604
NPI assigned
Sep 15, 2006
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 048530 CT
Internal Medicine Physician 207R00000X 048530 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100615000572 CT Practitioner - Emergency MedicinePractitioner - Internal Medicine 9537262332 Reassigns benefits to 9 organizations
I20220825002668 MA Practitioner - Emergency MedicinePractitioner - Internal Medicine 9537262332 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048530CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Emergency Medicine CurrentSince May 1, 2010 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Lawrence and Memorial Hospital, Inc. Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Lakes/National Emergency Physicians Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Nems PLLC Emergency Medicine CurrentSince Mar 14, 2019 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine CurrentSince May 29, 2020 Accepting new patients
Usacs of Connecticut, LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Mar 14, 2024 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine CurrentSince May 29, 2020 Accepting new patients
The Charlotte Hungerford Hospital Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Oct 1, 2020 Accepting new patients
Emergency Physicians of Connecticut PC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

130 Division St
Derby, CT 06418
Phone (203) 732-1330

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

336 N Main St
West Hartford, CT 06117
Phone (860) 200-7701

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1447356894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "BENNETT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "048530",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "048530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.