BRADLEY GOLDENBERG MD
NPI 1477595239
Pediatrics - Neonatal-Perinatal Medicine in Gulfport, MS
About Bradley Goldenberg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY GOLDENBERG MD (NPI 1477595239) is an individual neonatal-perinatal medicine provider in Gulfport, Mississippi, licensed in Mississippi (28322) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley Goldenberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Bradley Goldenberg reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 298 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Yorktown, IN 47396
- Reassigned Medicare billing, Indiana enrollment
- 635 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 201 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Portola Valley, CA 94028
- Reassigned Medicare billing, Arizona, Illinois and Mississippi enrollments
- Medicare enrollment name: Healthtap Medical Group PC
- 4 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.
GULFPORT, MS 39503
GULFPORT, MS 39503
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 Goldenberg's NPI number?
The NPI number for Bradley Goldenberg is 1477595239. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Bradley Goldenberg located?
Bradley Goldenberg practices at 15200 Community Rd, Gulfport, MS 39503. The listed phone number is (228) 575-7022.
What is Bradley Goldenberg's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Bradley Goldenberg enrolled in Medicare?
Yes. Bradley Goldenberg is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bradley Goldenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Goldenberg reassigns Medicare benefits to 6 organizations: Singing River Gulfport (Gulfport, MS), Singing River Health System (Ocean Springs, MS), Indiana University Health Ball Memorial Physicians, Inc. (Yorktown, IN), The Methodist Hospitals, Inc. (Merrillville, IN), University Hospitals Medical Group Inc (Cleveland, OH) and 1 more organization, listed in the Medicare section above. Each 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 Bradley Goldenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Goldenberg accept?
Health plans from CareSource and Cigna Healthcare list Bradley Goldenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bradley Goldenberg was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bradley Goldenberg, MD · NPI 1477595239
Neonatal-Perinatal Medicine physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1477595239 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 28322 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 15200 COMMUNITY RD, Gulfport, MS 39503-3085
- **Phone:** (228) 575-7022 · **Fax:** (228) 575-7097
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Singing River Gulfport (NPI 1063133833, Gulfport, MS); Singing River Health System (NPI 1053528109, Ocean Springs, MS); Indiana University Health Ball Memorial Physicians, Inc. (NPI 1710206990, Yorktown, IN); The Methodist Hospitals, Inc. (NPI 1518295948, Merrillville, IN); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 1J4304 (MS); Medicaid 1L7105 (MS); Medicaid 036074881 (IL); and 4 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1477595239) · Data from the CMS NPPES public registry.