Individual
DR. SAMUEL R GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 581-7155
Mailing address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 581-7155
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
11500
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097724
MEDICARE LEGACY#
AL
01
—
051522083
MEDICARE LEGACY #
AL
01
—
09-10143
UNITED HEALTHCARE
AL
05
—
128702
—
AL
01
—
168252100
FEDERAL WORK COMP
AL
01
—
200039736
RAILROAD MEDICARE
AL
01
—
51114077
BLUE CROSS AND BLUE SHIELD
AL
Enumeration date
02/06/2006
Last updated
06/20/2014
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