NPIMap

Individual provider Active NPI

Eric J Goldberg, MD

  • Clinical Neurophysiology Physician
  • Portsmouth, VA
National Provider Identifier
1629028238
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Practice address
3235 Academy Ave
Ste 305
Portsmouth, VA 23703-3200
Phone
(757) 686-9300
Fax
(757) 686-1514
NPI assigned
May 12, 2006
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X VA Primary

Addresses

Primary practice location

3235 Academy Ave
Ste 305
Portsmouth, VA 23703-3200

Mailing address

2876 Guardian Lane
Virginia Beach, VA 23452-7327
Phone (757) 463-5240

Other identifiers 8

IdentifierTypeStateIssuer
283422OtherVAMPIPA OPTIMA CHOICE
063EGOtherNCBLUE CROSS BLUE SHIELD
7114486MedicaidVA
0500484OtherVAUNITED HEALTHCARE
31253OtherVASENTARA
89063EGMedicaidNC
283422OtherVAALLIANCE MAMSI
317408OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071101000656 VA Practitioner - Neurology 1951498344 Reassigns benefits to 2 organizations
I20251120003397 NC Practitioner - Neurology 1951498344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Neurologists Inc PCGroup PAC ID 4688682875, 6 clinicians

Practice addresses (Care Compare)

3235 Academy Ave
Suite 305
Portsmouth, VA 23703-3200
Phone (757) 686-9300

4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010122594VAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleepmed Hampton Roads LLC CurrentSince Apr 22, 2009 Accepting new patients
Sleepmed Hampton Roads LLC CurrentSince Dec 1, 2013 Accepting new patients
Tidewater Neurologists Inc, PC Clinical Neurophysiology CurrentSince Aug 1, 2000 Accepting new patients
Sleepmed Hampton Roads LLC CurrentSince Dec 1, 2013 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Oct 27, 2025 Accepting new patients
Sleepmed Hampton Roads LLC CurrentSince Nov 5, 2023 Accepting new patients

Locations

4810 S Croatan Hwy
Ste 250
Nags Head, NC 27959
Phone (252) 261-4885

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

300 Medical Pkwy
Ste 104
Chesapeake, VA 23320
Phone (757) 412-1464

300 Medical Pkwy
Ste 108
Chesapeake, VA 23320
Phone (757) 547-5805

2713 Neil Armstrong Pkwy
Ste G3
Hampton, VA 23666
Phone (757) 262-0390

3235 Academy Ave
Ste 305
Portsmouth, VA 23703
Phone (757) 686-9300

2876 Guardian Ln
Virginia Beach, VA 23452
Phone (757) 463-5240

4480 Holland Office Park
Ste 225
Virginia Beach, VA 23452
Phone (757) 228-5801

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1629028238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 GUARDIAN LANE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527327",
            "telephone_number": "757-463-5240",
            "fax_number": "757-463-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "STE 305",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-686-9300",
            "fax_number": "757-686-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPIPA OPTIMA CHOICE",
            "identifier": "283422",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "063EG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114486",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0500484",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "31253",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89063EG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE MAMSI",
            "identifier": "283422",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "317408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.