Active NPI
Bruce Goldberg MD S C
- Orthopaedic Surgery Physician
- Hoffman Estates, IL
National Provider Identifier
1487654190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.
-
- Physical Therapist
- Bloomingdale, IL
- NPI 1316108822
-
- Orthopaedic Surgery Physician
- Fairfax, VA
- NPI 1629136999
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.