Michael S. Goldstein, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36668 Issued in MA

Practice address

166 Quincy Ave
Brockton, MA 02302-2803

Phone

(508) 583-0360

Fax

(508) 583-0330

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1487652137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-583-0360",
            "fax_number": "508-583-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-583-0360",
            "fax_number": "508-583-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "36668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Minds Healthcare LLC
• Golden Psychotherapy, PLLC
• Pamela Joy Klein Goldman
• Carole Goldstein, LCSW
• Danielle Goldstein, OTRL
• Sandra Goldstein
• Venkata S Golla, M.D
• Daniel Golovko, M.D.
• Alia Da Luz Gomes Silva
• Alana Olivia Gomes

• Urology Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.