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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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