MR. ROBERT BRANDON GOLTZMAN
NPI 1336699149
Nurse Practitioner - Family in Portland, OR

Q: What is Robert Goltzman's NPI number?

The NPI number for Robert Goltzman is 1336699149. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Q: What is Robert Goltzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Goltzman was last updated on January 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2016PECOS EnrolledAccepts Medicare Assignment

3500 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6101 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Robert Brandon Goltzman NPPES

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

MR. ROBERT BRANDON GOLTZMAN (NPI 1336699149) is an individual family provider in Portland, Oregon, licensed in California (95005128) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336699149

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ROBERT BRANDON GOLTZMAN

Location Address3500 N INTERSTATE AVEPortland, OR 97227-1196

Mailing Address751 Lombardi Ct Ste BSanta Rosa, CA 95407-5454

Phone(503) 331-6101

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 5, 2016

Last NPPES UpdateJanuary 2, 2022

NPPES CertifiedJanuary 2, 2022

✔ NPI 1336699149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95005128

3500 N INTERSTATE AVE, Portland, OR 97227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Mr. Robert Brandon Goltzman 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 ID1759623150

PECOS Enrollment IDI20191118001998

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 97227 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

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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.

MR. JASON JOHN POWERS M.D.

Internal Medicine (Gastroenterology)