C FRED GOTT M.D. NPI 1639177645

NPI Information

NPI: 1639177645
Provider Name: C FRED GOTT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
191 W PROFESSIONAL PARK CT
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-7464
Get Directions

C Fred Gott, M.D. is a cardiovascular disease internal medicine in Bowling Green, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. C Fred Gott, M.D. NPI is 1639177645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

191 W PROFESSIONAL PARK CT
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-7464
Fax: (270) 782-8025

The enumeration date for this NPI number is 7/13/2005 and was last updated on 6/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	20987	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	611077855	OTHER	KENTUCKY	FED TAX ID
2	000000048588	OTHER	KENTUCKY	BLUE CROSS BLUE SHIELD
3	64209877	MEDICAID	KENTUCKY
4	C25409	MEDICARE UPIN	KENTUCKY
5	1407601	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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