Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
BRADLEY GOLDENBERG
Active
Individual
BRADLEY GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01070390A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
036074881
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
28322
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
329609
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
674
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001071268
ANTHEM PIN
IN
01
—
01070390A
IN STATE LICENSE
IN
01
—
01070390B
CSR
IN
05
—
036074881
—
IL
05
—
100098179
—
WI
05
—
1J4304
—
MS
05
—
1L7105
—
MS
Enumeration date
06/12/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up