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Bradley Goldenberg, MD

Neonatal-Perinatal Medicine Physician in Gulfport, MS · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477595239

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Registry record

Entity type Individual (Type 1)
Name Bradley Goldenberg
Credential MD
Sex Male
Practice address 15200 Community Rd, Gulfport, MS, 39503
Fax (228) 575-7097
Enumeration date Jun 12, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians · License 01070390A (IN) Secondary
2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians · License 674 (WI) Secondary
2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians · License 329609 (LA) Secondary
2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians · License 036074881 (IL) Secondary
2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians · License 28322 (MS) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1J4304 Medicaid MS -
1L7105 Medicaid MS -
036074881 Medicaid IL -
01070390A Other IN IN STATE LICENSE
100098179 Medicaid WI -
01070390B Other IN CSR
000001071268 Other IN ANTHEM PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Bradley Goldenberg?
Bradley Goldenberg is registered in NPPES with the primary taxonomy of Neonatal-Perinatal Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.