Organization Active NPI

Carolina Bone & Joint PA

  • Orthopaedic Surgery Physician
  • Greensboro, NC
National Provider Identifier
1689894321
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
561316335 Issued in NC
Legal business name
CAROLINA BONE & JOINT PA
Practice address
1331 N Elm St Ste 101
Greensboro, NC 27401-6303
Phone
(336) 274-6718
Fax
(336) 274-6992
NPI assigned
Apr 26, 2007
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Neal Michael Goldberger, MDNPI 1306820113
Title
Authorized Official
Phone
(336) 274-6718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NC
Orthopaedic Surgery Physician 207X00000X 561316335 NC Primary

Addresses

Primary practice location

1331 N Elm St Ste 101
Greensboro, NC 27401-6303

Mailing address

10508 Park Rd Ste 120
Charlotte, NC 28210-8526
Phone (704) 541-3055

Other identifiers 1

IdentifierTypeStateIssuer
8902849MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2091946Carolina Bone & Joint PA1331 N Elm Street Suite 100a, Greensboro, NC 27401Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1689894321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 PARK RD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108526",
            "telephone_number": "704-541-3055",
            "fax_number": "704-319-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016303",
            "telephone_number": "336-274-6718",
            "fax_number": "336-274-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BONE & JOINT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "GOLDBERGER",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "336-274-6718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "561316335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902849",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.