Active NPI
William E. Goldberg, M.D., P.C.
- Primary Care Clinic/Center
- Brookline, MA
National Provider Identifier
1467658401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 728907
- Legal business name
- WILLIAM E. GOLDBERG, M.D., P.C.
- Practice address
- 1101 Beacon St Ste 2
Brookline, MA 02446-5587 - Phone
- (617) 731-4400
- Fax
- (617) 731-5500
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Edward Goldberg
- Title
- Internist
- Phone
- (617) 731-4400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 728907 | MA | Primary |
Addresses
Primary practice location
1101 Beacon St Ste 2
Brookline, MA 02446-5587
Mailing address
1101 Beacon Street Ste 2 West
Brookline, MA 02446-5587
Phone (617) 731-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J13301 | Other | MA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brookline, MA
- NPI 1558336180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433980800000",
"number": "1467658401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 BEACON STREET STE 2 WEST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465587",
"telephone_number": "617-731-4400",
"fax_number": "617-731-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 BEACON ST STE 2",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465587",
"telephone_number": "617-731-4400",
"fax_number": "617-731-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM E. GOLDBERG, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2015-06-11",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "INTERNIST",
"authorized_official_telephone_number": "617-731-4400",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MA",
"license": "728907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "J13301",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.