Marc Vincent Goldhagen, MD, MPH

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

G77740 Issued in CA

Practice address

2200 Bergquist Drive
Ste 1, Attn: Credentials (CMC)
Lackland Afb, TX 78236-5300

Phone

(210) 536-6946

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730167909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 WHISPER MTN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583205",
            "telephone_number": "210-455-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DRIVE",
            "address_2": "STE 1, ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365300",
            "telephone_number": "210-536-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDHAGEN",
        "first_name": "MARC",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "G77740",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G77740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger W Finley, RESP THERAPIST
• Anthony Richard Fletcher
• Christopher P Flores, RESP THERAPIST
• Ann Desdemonia Fowajuh
• Jennifer Jean Galgano, CPNP
• Arnoldo Arturo Gonzalez Jr., ATC, LAT
• Terence A Graden
• Aaron Daniel Grant, MD
• Andrew Grasso, PHARM.D.
• Jeremy Michael Greeley

• Aerospace Medicine Physician in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Aerospace Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.