Mr Bradley Gordon Goldberg, MD | |
2010 Ocilla Rd, Douglas, GA 31533-2230 | |
(912) 384-2500 | |
(912) 383-6788 |
Full Name | Mr Bradley Gordon Goldberg |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 2010 Ocilla Rd, Douglas, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447348826 | NPI | - | NPPES |
138903 | Other | GA | PEACHSTATE |
700394 | Other | GA | BCBS |
000741694D | Medicaid | GA | |
DH1281 | Other | GA | RAILROAD MEDICARE - GROUP # |
040079 | Other | GA | GA LICENSE |
040079 | Other | GA | MEDICAL LICENSE |
341191 | Other | GA | WELLCARE OF GA |
P00726008 | Other | GA | RAILROAD MEDICARE - PTAN |
11D0941435 | Other | GA | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 040079 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coffee Regional Medical Center, Inc | Douglas, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crh Physician Practices, Llc | 5193727964 | 34 |
Entity Name | Crh Physician Practices, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710046073 PECOS PAC ID: 5193727964 Enrollment ID: O20070207000243 |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley Gordon Goldberg, MD 11 Cross St, Hazlehurst, GA 31539 Ph: (912) 384-2500 | Mr Bradley Gordon Goldberg, MD 2010 Ocilla Rd, Douglas, GA 31533-2230 Ph: (912) 384-2500 |
Mr. Justin Peterson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2010 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-2500 Fax: 912-383-6788 | |
Mr. Steven Charles Diamond, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2010 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1477 | |
Dr. Cheng Hsiung Lin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Shirley Ave, Douglas, GA 31533 Phone: 912-384-8800 Fax: 912-384-9674 | |
Mahendra G Amin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1022 West Bryan St, Douglas, GA 31533 Phone: 912-384-6630 Fax: 912-632-2117 |