REBECCA HALLIE GOLDBERG MD
NPI 1154070639
Student in an Organized Health Care Education/Training Program in Brockton, MA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebecca Hallie Goldberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arvada, CO 80005
- Reassigned Medicare billing, Colorado enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BROCKTON, MA 02302
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.
Which organization bills Medicare for Rebecca Goldberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Goldberg reassigns Medicare benefits to Clearview Dermatology PLLC (Arvada, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Rebecca Hallie Goldberg, MD · NPI 1154070639
Student in an Organized Health Care Education/Training Program provider in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1154070639 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 680 CENTRE ST, Brockton, MA 02302-3308
- **Phone:** (508) 941-7210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clearview Dermatology PLLC (NPI 1548874449, Arvada, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2022
## Record status
- **NPPES last updated:** March 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154070639) · Data from the CMS NPPES public registry.