Active NPI
Ethan Thomas Goldberg, DO
- Pulmonary Disease Physician
- Nashville, TN
National Provider Identifier
1942837414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 7092
- Practice address
- 300 20TH Ave N Ste G4
Nashville, TN 37203-2244 - Phone
- (615) 284-5098
- Fax
- (615) 284-5385
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 9412131 | KS | |
| Pulmonary Disease Physician | 207RP1001X | 7092 | TN | Primary |
Addresses
Primary practice location
300 20TH Ave N Ste G4
Nashville, TN 37203-2244
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 1
300 Steam Plant Rd Ste 490
Gallatin, TN 37066-3032
Phone (615) 284-5098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250709003460 | KS | Order and Referring Only - Internal Medicine | 5294249322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9412131 | KS | MD | Critical Care Medicine (Internal Medicine) Physician |
Interoperability endpoints
- ethan.goldberg@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1942837414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-239-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 20TH AVE N STE G4",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032244",
"telephone_number": "615-284-5098",
"fax_number": "615-284-5385"
}
],
"practiceLocations": [
{
"address_1": "300 Steam Plant Rd Ste 490",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370663032",
"country_code": "US",
"telephone_number": "615-284-5098",
"fax_number": "615-284-5385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ETHAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KS",
"license": "9412131",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "7092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.