Bradley Goldenberg, MD - Medicare Pediatrics 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 NameBradley Goldenberg
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location15200 Community Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1477595239NPI-NPPES
1J4304MedicaidMS
1L7105MedicaidMS
036074881MedicaidIL
01070390AOtherININ STATE LICENSE
100098179MedicaidWI
01070390BOtherINCSR
000001071268OtherINANTHEM PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 01070390A (Indiana)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 674 (Wisconsin)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 329609 (Louisiana)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 036074881 (Illinois)Secondary
2080N0001XPediatrics - 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 NameHealthtap Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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.
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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.
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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.
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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.
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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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.