MR. BRADLEY GORDON GOLDBERG (M.D.) – Obstetrics & Gynecology Physician, NPI 1447348826

MR. BRADLEY GORDON GOLDBERG (M.D.) is a healthcare provider. based in Hazlehurst, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 040079 (GA). The NPI Number for MR. BRADLEY GORDON GOLDBERG (M.D.) is 1447348826

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADLEY GORDON GOLDBERG (M.D.)
NPI
1447348826
Phone
(912) 384-2500
Address
11 Cross St
Enumeration Date
10 October 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9123842500
Graduation Year
1993 (33 years ago)
PAC ID
5991712028
Group Practice PAC ID
5193727964
Professional Enrollment ID
I20070207000260
Address ID
GA315332230DO2010XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for MR. BRADLEY GORDON GOLDBERG (M.D.)

  • 11 Cross St

    Hazlehurst, GA 315396427

    Phone: (912) 384-2500

    Fax: (912) 383-6788

    Type: Location

  • 11, Cross Street, Hazlehurst, Jeff Davis County, Georgia, 31539, United States

    HAZLEHURST, GA 31539

    Phone: (912) 384-2500

    Fax: (912) 383-6788

    Type: Mailing

  • 2010, Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315332230

    Phone: (912) 384-2500

    Fax: (912) 383-6788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $828.

Total Amount is formed as General ($828) + Research ($0) + Ownership ($0) = $828.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($231).

Total Amount

$828

General + Research + Ownership

Payments

28

Total payment records

General Amount

$828

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070207000260IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31539)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193727964View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
U R O L O G YGA
General SurgeryGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerME
Cardiovascular Disease (Cardiology)GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyME

Reviews

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Frequently asked questions

Can I verify MR. BRADLEY GORDON GOLDBERG (M.D.) with an NPI only?
You can start verification with NPI 1447348826 for MR. BRADLEY GORDON GOLDBERG (M.D.), then check state licensing separately.
Does CMS list MR. BRADLEY GORDON GOLDBERG (M.D.) as active?
Yes — MR. BRADLEY GORDON GOLDBERG (M.D.) is active in the NPI listing used on this page.
What is MR. BRADLEY GORDON GOLDBERG (M.D.) best known for clinically?
Directory data describes MR. BRADLEY GORDON GOLDBERG (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MR. BRADLEY GORDON GOLDBERG (M.D.) on a map?
Expect Hazlehurst, Georgia as a primary anchor for MR. BRADLEY GORDON GOLDBERG (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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