P Praxis·MD
● Active Type 1 · Individual

MR. Bradley Gordon Goldberg, M.D.

Obstetrics & Gynecology·Douglas, GA· NPI 1447348826 · Enumerated 2006 · 19 years on NPI
Goldberg is 1 of 8 obstetrics & gynecology providers in Douglas and 1 of 1893 in Georgia.
NPI age
19 years
Enumerated 2006-10-10
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1893 active obstetrics & gynecology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2010 Ocilla Rd
Douglas, GA 315332230
📞 9123842500fax 9123836788
Mailing address
11 Cross St
Hazlehurst, GA 31539
📞 9123842500fax 9123836788

Additional practice locations

1 secondary location on file with NPPES.

Location 2
11 Cross St
Hazlehurst, GA 315396427
📞 9123842500fax 9123836788

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    GA license #040079 taxonomy 207V00000X

Identifiers

TypeValueNotes
01 (GA) 138903 PEACHSTATE
01 (GA) 700394 BCBS
05 (GA) 000741694D
01 (GA) DH1281 RAILROAD MEDICARE - GROUP #
01 (GA) 040079 GA LICENSE
01 (GA) 040079 MEDICAL LICENSE
01 (GA) 341191 WELLCARE OF GA
01 (GA) P00726008 RAILROAD MEDICARE - PTAN
01 (GA) 11D0941435 CLIA

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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