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NPI Code Detail

MEDICARE: DR. STEVEN EDWARD GOLDBERG MD

MEDICARE:  DR. STEVEN EDWARD GOLDBERG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician01063106AIN
2207Q00000XFamily Medicine Physician41509KY

General Provider Information

NPI Number : 1154476737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN EDWARD GOLDBERG MD
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : LOUISVILLE
State : KY
Zip : 40201-0909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4423 BARDSTOWN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3235
Country : US
Telephone Number : 502-749-7909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/19/2023

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