Gottsman, Michael Bradley

Gottsman, Michael Bradley is an individual health care provider with primary practice located at 1475 Jesse Jewell Pkwy Ne Ste 302 , Gainesville GA 30501-3806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gottsman, Michael Bradley can be contacted via phone (770) 292-6500.

Contact Information

Primary practice address
1475 Jesse Jewell Pkwy Ne Ste 302 Gainesville GA 30501-3806
Phone: (770) 292-6500
Fax: (770) 292-6535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 050102 Georgia

Profile Details

NPI number 1891718383
LBN Legal business name Gottsman, Michael Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891718383 NPPES
Georgia Other 10062469 AMERIGROUP
Georgia Other P00339111 AMERIGROUP
Georgia Other 7444426 AMERIGROUP
Georgia MEDICAID 000908872D AMERIGROUP
Georgia Other 0900422 AMERIGROUP
Georgia MEDICAID 000908872C AMERIGROUP
Georgia Other 339832 AMERIGROUP
Georgia Other 52864125 AMERIGROUP

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