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JACOB GOLDBERG
NPI 1043716459
Chiropractor in Tampa, FL

Active since April 04, 2018Accepts Medicare Assignment
11012 N DALE MABRY HWY STE 304, TAMPA, FL 33618(813) 563-7600(813) 563-7601 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Aug 2, 2022 (2 updates tracked since 2022).

About Jacob Goldberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GOLDBERG (NPI 1043716459) is an individual chiropractor in Tampa, Florida, licensed in Florida (CH13953) and active in the NPI registry since April 2018. He maintains a secondary practice location in Batesville and is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1043716459
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB GOLDBERG
Location Address11012 N DALE MABRY HWY STE 304Tampa, FL 33618-3821
Mailing Address11012 N Dale Mabry Hwy Ste 304Tampa, FL 33618-3821
Phone(813) 563-7600
Fax(813) 563-7601
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2017
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1043716459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH13953
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11012 N DALE MABRY HWY STE 304, Tampa, FL 33618
Open in Google Maps ↗

Secondary Practice Location 1

Location 1920 Harrison St Ste ABatesville, AR 72501-6949 · Phone (870) 569-4909

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Goldberg is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496121493
PECOS Enrollment IDI20221017001399

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
162 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REDEFINE YOUR SPINE LLC
Chiropractor
11012 N DALE MABRY HWY STE 304
TAMPA, FL 33618
Hillsborough County (813) 563-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Goldberg's NPI number?

The NPI number for Jacob Goldberg is 1043716459. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Jacob Goldberg located?

Jacob Goldberg practices at 11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618. The listed phone number is (813) 563-7600.

What is Jacob Goldberg's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Goldberg enrolled in Medicare?

Yes. Jacob Goldberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Goldberg accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and Wellpoint list Jacob Goldberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Goldberg was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.