Bernard Goldstein, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO0000369 Issued in FL

Practice address

13615 Bruce B Downs Blvd
Suite 112
Tampa, FL 33613-4607

Phone

(813) 972-3338

Fax

(813) 977-9070

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bernard Goldstein PA

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
  • NPI 1386840098
  NPD (past) Authorized official
• Dr Bernard Goldstein PA

  • Foot & Ankle Surgery Podiatrist
  • Zephyrhills, FL
  • NPI 1801075932
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1831288554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134607",
            "telephone_number": "813-972-3338",
            "fax_number": "813-977-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134607",
            "telephone_number": "813-972-3338",
            "fax_number": "813-977-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0000369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480014804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3347",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "591305394",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/DME#",
            "identifier": "0867240001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029739900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisse Goldman, M.D.
• Olivia Goldman, PSY.D.
• Lindsay Goldring
• David Jason Goldschein, D.D.S.
• Brandy Kellam Goldson
• Jules Goldstein II
• Keith Stuart Goldstein, M.D.
• Robert J Goldstein, M.D.
• Stacey P Goldstein, O.D.
• Synthia Goldstein

• Foot & Ankle Surgery Podiatrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.