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NPI Code Detail

MEDICARE: DR. BRAD STEWART GOLDMAN M.D.

MEDICARE: DR. BRAD STEWART GOLDMAN M.D.
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
1207P00000XEmergency Medicine Physician35-075222OH

General Provider Information

NPI Number : 1700877933
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRAD STEWART GOLDMAN M.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-3963
Fax Number :
Provider Business Practice Location Address
First Line : 1275 N HIGH ST
Second Line :
City : HILLSBORO
State : OH
Zip : 45133-8273
Country : US
Telephone Number : 937-393-6100
Fax Number : 614-293-2809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2005
Last Update Date : 10/08/2024

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