REBECCA HALLIE GOLDBERG MD
NPI 1154070639
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since March 22, 2022PECOS Enrolled
680 CENTRE ST, BROCKTON, MA 02302(508) 941-7210 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Hallie Goldberg Md NPPES

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

REBECCA HALLIE GOLDBERG MD (NPI 1154070639) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2022).

NPPES Registry Identity

NPI1154070639
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREBECCA HALLIE GOLDBERGCredential: MD
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address7 Smokey Hill RdWayland, MA 01778-3807 · (774) 270-2236
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2022
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1154070639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
680 CENTRE ST, Brockton, MA 02302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rebecca Hallie Goldberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002387974
PECOS Enrollment IDI20260602002809
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Social Worker
680 CENTRE ST
BROCKTON, MA 02302

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 Rebecca Goldberg's NPI number?

The NPI number for Rebecca Goldberg is 1154070639. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Rebecca Goldberg located?

Rebecca Goldberg practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7210.

What is Rebecca Goldberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rebecca Goldberg enrolled in Medicare?

Yes. Rebecca Goldberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Goldberg was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.