JACOB A GOLDENBERG MD
NPI 1215954177
Radiology - Diagnostic Radiology in Fargo, ND

Active since July 16, 2006
801 BROADWAY N, FARGO, ND 58102(701) 234-2461(701) 234-7481 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacob A Goldenberg Md NPPES

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

JACOB A GOLDENBERG MD (NPI 1215954177) is an individual diagnostic radiology provider in Fargo, North Dakota, licensed in North Dakota (7788) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1215954177
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACOB A GOLDENBERGCredential: MD
Location Address801 BROADWAY NFargo, ND 58102-3641
Mailing Address801 Broadway NFargo, ND 58102-3641 · (701) 234-2461 · Fax (701) 234-7481
Fax(701) 234-7481
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1215954177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in ND · 7788
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
801 BROADWAY N, Fargo, ND 58102

Other Identifiers 4

Medicare PIN300002379MN
Medicare UPING51123
Medicare PINN14897ND
Medicaid10266ND

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.

Speech-Language Pathologist
801 BROADWAY N
FARGO, ND 58102
Nurse Anesthetist, Certified Registered
801 BROADWAY N
FARGO, ND 58102
Hospice Care, Community Based
801 BROADWAY N
FARGO, ND 58102
Family Medicine
801 BROADWAY N
FARGO, ND 58102
Internal Medicine (Infectious Disease)
801 BROADWAY N
FARGO, ND 58102
Internal Medicine (Gastroenterology)
801 BROADWAY N
FARGO, ND 58102
Pediatrics
801 BROADWAY N
FARGO, ND 58102
Internal Medicine
801 BROADWAY N
FARGO, ND 58102

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 Goldenberg's NPI number?

The NPI number for Jacob Goldenberg is 1215954177. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Jacob Goldenberg located?

Jacob Goldenberg practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2461.

What is Jacob Goldenberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jacob Goldenberg was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.