DR. BRADLEY SAMUEL GOLDBERG M.D.
NPI 1164765244
Emergency Medicine - Pediatric Emergency Medicine in Los Angeles, CA

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD # 113, LOS ANGELES, CA 90027(323) 361-2109(323) 361-3891 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 9, 2019, Aug 1, 2017 (3 updates tracked since 2017).

About Dr. Bradley Samuel Goldberg M.d. NPPES

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

DR. BRADLEY SAMUEL GOLDBERG M.D. (NPI 1164765244) is an individual pediatric emergency medicine provider in Los Angeles, California, licensed in California (A147964) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164765244
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameDR. BRADLEY SAMUEL GOLDBERGCredential: M.D.
Location Address4650 W SUNSET BLVD # 113Los Angeles, CA 90027-6062
Mailing Address4650 Sunset Blvd, Ms# 113Los Angeles, CA 90027-6062 · (323) 361-2109 · Fax (323) 361-3891
Fax(323) 361-3891
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1164765244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License Licensed in CA · A147964
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
4650 W SUNSET BLVD # 113, Los Angeles, CA 90027

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

Dr. Bradley Samuel Goldberg M.d. 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 ID6800181264
PECOS Enrollment IDI20230411002169
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Pediatrics
4650 W SUNSET BLVD # 113
LOS ANGELES, CA 90027
Pediatrics
4650 W SUNSET BLVD # 113
LOS ANGELES, CA 90027
Emergency Medicine (Pediatric Emergency Medicine)
4650 W SUNSET BLVD # 113
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD # 113
LOS ANGELES, CA 90027

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 Bradley Goldberg's NPI number?

The NPI number for Bradley Goldberg is 1164765244. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Bradley Goldberg located?

Bradley Goldberg practices at 4650 W Sunset Blvd # 113, Los Angeles, CA 90027. The listed phone number is (323) 361-2109.

What is Bradley Goldberg's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Bradley Goldberg enrolled in Medicare?

Yes. Bradley 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.

When was this NPI record last updated?

The NPPES record for Bradley Goldberg was last updated on July 21, 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.