Bradley Goldenberg, MD in Gulfport, MS

Bradley Goldenberg, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Gulfport, Mississippi. His current practice location is 15200 Community Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 575-7022.

Bradley Goldenberg is licensed to practice in Mississippi (license number 28322) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477595239.

Contact Information

	Bradley Goldenberg, MD
	15200 Community Rd, Gulfport, MS 39503-3085
	(228) 575-7022
	(228) 575-7097

Map and Direction

Physician's Profile

Full Name	Bradley Goldenberg
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	15200 Community Rd, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477595239
Provider Enumeration Date: 06/12/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8729121280
Enrollment ID: I20100205000133

Medical Identifiers

Medical identifiers for Bradley Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477595239	NPI	-	NPPES
1J4304	Medicaid	MS
1L7105	Medicaid	MS
036074881	Medicaid	IL
01070390A	Other	IN	IN STATE LICENSE
100098179	Medicaid	WI
01070390B	Other	IN	CSR
000001071268	Other	IN	ANTHEM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	01070390A (Indiana)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	674 (Wisconsin)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	329609 (Louisiana)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	036074881 (Illinois)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	28322 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradley Goldenberg allows following entities to bill medicare on his behalf.

Entity Name	Healthtap Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518330539 PECOS PAC ID: 2062813827 Enrollment ID: O20220103001610

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Goldenberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bradley Goldenberg, MD 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576	Bradley Goldenberg, MD 15200 Community Rd, Gulfport, MS 39503-3085 Ph: (228) 575-7022

Reviews and Comments

Pediatrics Doctors in Gulfport, MS

Dr. Charles Samms, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1285 Spring St, Ste A, Gulfport, MS 39507 Phone: 228-896-6441 Fax: 228-896-6576
Dr. April Lee Ulmer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 Cowan Rd Ste B, Gulfport, MS 39507 Phone: 228-222-4072 Fax: 222-215-1205
Jonette Scott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 Phone: 228-864-0003 Fax: 228-863-7917
Ronald T Bruni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9454 Three Rivers Rd, Suite A, Gulfport, MS 39503 Phone: 228-864-7747 Fax: 228-864-7415
Dr. Christie Devlin-schroll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8950 Lorraine Rd, Gulfport, MS 39503 Phone: 601-815-2005 Fax: 601-815-0434
Mrs. Christie Ann Thrash, Pediatrics Medicare: Medicare Enrolled Practice Location: 1285 Spring St, Suite A, Gulfport, MS 39507 Phone: 228-896-6441 Fax: 228-896-6576
Dr. Jennifer Anne Caldwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4500 13th Street, Gulfport, MS 39501 Phone: 601-288-3440 Fax: 601-288-3460

Bradley Goldenberg, MD - Medicare Pediatrics in Gulfport, MS