Provider Demographics
NPI:1053385633
Name:GOLDSTEIN, BARRETT (MD)
Entity type:Individual
Prefix:DR
First Name:BARRETT
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-468-8999
Mailing Address - Fax:
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 645
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4449
Practice Address - Country:US
Practice Address - Phone:301-656-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0003178207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD414298 02OtherBSMD PROVIDER NUMBER
MD2146022OtherOPTIMUM CHOICE PROVIDER #
MD2146022OtherMDIPA PROVIDER NUMBER
MD2146022OtherALLIANCE PROVIDER NUMBER
MD2146022OtherMAMSI PROVIDER NUMBER
MD521186611OtherUNITED HEALTHCAE PROV #
MD9070 0030OtherBSDC PROVIDER NUMBER
MD1340311OtherCIGNA PROVIDER NUMBER
MD2146022OtherMAMSI PROVIDER NUMBER
MDD09425Medicare UPIN