Bruce Goldberg MD S C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRUCE GOLDBERG MD S C

Practice address

2001 N Gary Ave
Suite 230
Wheaton, IL 60187-3055

Phone

(630) 480-0490

Fax

(630) 580-9641

NPI assigned

Dec 29, 2015

Last updated

Dec 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Goldberg, MDNPI 1417957226

Title

Owner

Phone

(630) 480-0490

Specialties & licenses 1

Addresses

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.

• Bruce J Goldberg, M.D.

  • Orthopaedic Surgery Physician
  • Hoffman Estates, IL
  • NPI 1417957226
  NPD (past) Authorized official

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1871958314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N GARY AVE",
            "address_2": "SUITE 230",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873055",
            "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": "2001 N GARY AVE",
            "address_2": "SUITE 230",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873055",
            "telephone_number": "630-480-0490",
            "fax_number": "630-580-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE GOLDBERG MD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-480-0490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Brown, LPC
• Thomas Brown
• Tracye Rochelle Brown
• Andrea Browne
• Rosanne J Browne, MD
• Barton Lane Bruntjen, DDS
• Tijana Bryan, MMS, PA-C
• Toyetta Bryant
• Adam William Bryniczka, DPM
• Gregory C. Bryniczka, DPM

• Durable Medical Equipment & Medical Supplies in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.