Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Goldstein, MD

Individual provider Emergency Medicine Physician · NPI 1396430229

Jack Goldstein, MD is an Emergency Medicine in Bloomington, Minnesota. Graduated from University of Minnesota Medical School in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
3
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435
Phone: (952) 835-9880
Fax: (952) 835-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 82048 (MN)

Record details

NPI number1396430229
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2023
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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