Dr. Bryan Douglas Goldberg
Emergency Physician
41 Brewster Rd
Bristol
, Connecticut 06010-5161
Dr. Bryan Douglas Goldberg
Emergency Physician
41 Brewster Rd
Bristol
, Connecticut 06010-5161
(086) 689-8713
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Bryan Douglas Goldberg
- Po Box 2699 Dept 200
- Hartford, CT
- Zip : 06146-2699
- Phone : (086) 689-8713
Second Address
- Dr. Bryan Douglas Goldberg
- 41 Brewster Rd
- Bristol, CT
- Zip : 06010-5161
- Fax : (860) 585-3910
- Phone : (860) 585-3433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 034419 | CT |
National Provider Identifier
| NPI | 1003914102 |
|---|---|
| Provider Name | Dr. Bryan Douglas Goldberg |
| First Address | Hartford, CT 06146-2699 |
| Second Address | Bristol, CT 06010-5161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 01/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F18406 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.