DR. JEFFREY R GOLDBERG (NPI# 1093723983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093723983 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY R GOLDBERG |
| Credential | MD |
| Practice Address |
25 Collins Road Bristol CT 06010 |
| Mailing Address |
4 Farm Springs Road Prohealth Physicians Inc Farmington CT 06032-2573 |
| Practice Telephone | 8605898882 |
| Practice Fax Number | 8605858898 |
| Mailing Telephone | 8602845200 |
| Mailing Fax Number | 8602845333 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036141 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295189256 | Jeffrey Goldberg | Occupational Therapist | 3475 Greystone Ave, Apt 6a, Bronx, NY 10463-2238 | 2016-04-15 |
| 1790946531 | Jeffrey Alan Goldberg | Psychiatry & Neurology | 8425 E 12 Mile Rd, Suite#112, Warren, MI 48093-2738 | 2008-06-24 |
| 1336229178 | Jeffrey E Goldberg | Otolaryngology | 4245 Johns Creek Pkwy., Suite D, Suwanee, GA 30024 | 2006-10-16 |
| 1346856465 | Jeffrey M Goldberg | Social Worker | 3355 Saint Johns Ln Ste J, Ellicott City, MD 21042-2600 | 2020-09-23 |
| 1720355605 | Jeffrey Edward Goldberg | Pharmacist | 1525 W Park Ave, Anaconda, MT 59711-1829 | 2011-11-21 |
| 1659690469 | Jeffrey Harris Goldberg | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2010-05-19 |
| 1003048455 | Jeffrey Alan Goldberg | Dentist | 315 N Elm St, High Point, NC 27262-4936 | 2009-08-19 |
| 1417158114 | Jeffrey Louis Goldberg | Ophthalmology | 9415 Campus Point Dr, Shiley Eye Center, La Jolla, CA 92093-0946 | 2007-05-30 |
| 1669542767 | Jeffrey Ward Goldberg | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2006-11-08 |
| 1902914435 | Jeffrey Goldberg | Psychiatry & Neurology | 5025 Fort Hamilton Pkwy, Brooklyn, NY 11219-3325 | 2006-08-25 |
| Street Address |
25 COLLINS ROAD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267127 | Carlos Manuel Badiola | Radiology | 25 Collins Road, Bristol, CT 06010 | 2006-07-16 |
| 1386704229 | Radiologic Associates PC | Radiology | 25 Collins Road, Bristol, CT 06010 | 2006-12-11 |
| 1962429746 | Folco Scappaticci | Radiology | 25 Collins Road, Bristol, CT 06010 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1760758734 | Renee Bratspis | Family Medicine | 74 Munsill Ave Ste 100, Bristol, VT 05443-1047 | 2012-03-23 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1780829572 | David Lynn Stevens | Family Medicine | 504 Old Jonesboro Rd, Bristol, TN 37620-5670 | 2008-12-08 |
| 1285892299 | Natasha Alexa Withers | Family Medicine | 61 Pine St Ste 400, Bristol, VT 05443-1043 | 2008-05-27 |
| 1992901409 | Uzoma N Obuekwe | Family Medicine | 2001 Euclid Ave, Bristol, VA 24201-3609 | 2007-06-22 |
| 1750502514 | Ronna Denise New | Family Medicine | 1 Medical Park Blvd Ste 450w, Bristol, TN 37620-7470 | 2007-05-01 |
| 1063552461 | Carol A Dewey | Family Medicine | 522 Alabama St, Bristol, TN 37620-2307 | 2007-02-07 |
| 1093898702 | J Scott Ries | Family Medicine | 504 Old Jonesboro Road, Bristol, TN 37620 | 2006-10-24 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.