EXCLUDEDPROVIDER
Individual Revocation

Charles Barry Goldberg

Gilbert, AZ 85297

Public HHS-OIG LEIE exclusion record

Charles Barry Goldberg of Gilbert, AZ is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1336107200 with a primary specialty of Family Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Charles Barry Goldberg is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 20, 2024.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Gilbert, AZ 85297
Exclusion date
October 20, 2024
Exclusion type
Revocation (1128b4)
NPI
1336107200

Record summary

Charles Barry Goldberg appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Gilbert, Arizona. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is October 20, 2024, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateOctober 20, 2024
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1336107200
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Gilbert, AZ 85297. The listed provider category is Physician (MD, DO). The listed specialty is Family Practice.

NPI Registry context

The LEIE record lists NPI 1336107200. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Family Medicine (207Q00000X). Registered practice location: Portland, OR. NPI enumeration date: May 2, 2006. NPPES status: Active. The NPI Registry lists credential: M.D..

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Gilbert, AZ

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Gilbert, AZ address.

Anthony Dominic Sparacino Individual Program Crime
Gilbert, AZ · Conviction of program-related crimes · Excluded Jul 2025
Rosadelia Ontiberos Individual Revocation
Gilbert, AZ · License revocation, suspension, or surrender · Excluded Jun 2025
L And L Investments, LLC Entity Program Crime
Gilbert, AZ · Conviction of program-related crimes · Excluded Jun 2025
Richard Grant Kolb Individual Felony Fraud
Gilbert, AZ · Felony conviction relating to health care fraud · Excluded Feb 2025
Floyd Keith Godfrey Individual Revocation
Gilbert, AZ · License revocation, suspension, or surrender · Excluded Dec 2024
Charles Jovan Temple Individual Program Crime
Gilbert, AZ · Conviction of program-related crimes · Excluded Nov 2024
Alexandra Bavier Kent Individual Revocation
Gilbert, AZ · License revocation, suspension, or surrender · Excluded Nov 2024
Jeremiah Faber Individual Program Crime
Gilbert, AZ · Conviction of program-related crimes · Excluded Dec 2023

See all 55 excluded providers in Gilbert →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in Arizona More Records in Gilbert More Revocation Records