Organization Active NPI

Bruce Goldberg MD S C

  • Orthopaedic Surgery Physician
  • Hoffman Estates, IL
National Provider Identifier
1487654190
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BRUCE GOLDBERG MD S C
Practice address
1555 Barrington Rd
Ste 205
Hoffman Estates, IL 60169-1063
Phone
(630) 480-0490
Fax
(630) 580-9641
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Bruce J Goldberg, M.D.
Title
Owner
Phone
(630) 480-0490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1555 Barrington Rd
Ste 205
Hoffman Estates, IL 60169-1063

Mailing address

1059 W Skylark Dr
Palatine, IL 60067-7058
Phone (630) 480-0490

National Provider Directory

National Provider Directory

Locations

231 S Gary Ave
Ste 101
Bloomingdale, IL 60108
Phone (630) 529-7708

Practitioners & affiliated clinicians

Practitioners 2

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": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1487654190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 W SKYLARK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677058",
            "telephone_number": "630-480-0490",
            "fax_number": "630-580-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "STE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691063",
            "telephone_number": "630-480-0490",
            "fax_number": "630-580-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE GOLDBERG MD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-480-0490",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.