NPIMap

Organization Active NPI

Brian Goldstein DPM

  • Foot & Ankle Surgery Podiatrist
  • Bala Cynwyd, PA
National Provider Identifier
1982875381
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC-002852-L Issued in PA
Legal business name
BRIAN GOLDSTEIN DPM
Practice address
308 Levering Mill Rd
Bala Cynwyd, PA 19004-2830
Phone
(610) 664-9555
Fax
(610) 660-5166
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Brian Louis Goldstein, DPMNPI 1093758021
Title
Owner/Doctor
Phone
(610) 664-9555

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC-002852-L PA Primary

Addresses

Primary practice location

308 Levering Mill Rd
Bala Cynwyd, PA 19004-2830

Mailing address

308 Levering Mill Rd
Bala Cynwyd, PA 19004-2830
Phone (610) 664-9555

National Provider Directory

National Provider Directory
Tax ID family
Brian Goldstein D P M2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1982875381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LEVERING MILL RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042830",
            "telephone_number": "610-664-9555",
            "fax_number": "610-660-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 LEVERING MILL RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042830",
            "telephone_number": "610-664-9555",
            "fax_number": "610-660-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GOLDSTEIN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "610-664-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC-002852-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.