C FRED GOTT M.D. NPI 1760547103

NPI Information

NPI: 1760547103
Provider Name: C FRED GOTT M.D.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
191 W PROFESSIONAL PARK CT
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-7464
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C FRED GOTT M.D. is a multi-specialty clinic center in Bowling Green, KY. C FRED GOTT M.D. NPI is 1760547103. The provider is registered as an organization entity type.

The provider's business location address is:

191 W PROFESSIONAL PARK CT
BOWLING GREEN, KY
ZIP 42104-230
Phone: (270) 782-7464
Fax: (270) 782-8025

The provider's authorized official is Robert Bedard .
The authorized official title is Practice Manager and has the following contact phone number (270) 782-7464.

The enumeration date for this NPI number is 12/26/2006 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	261QM1300X	Clinic/Center	Multi-Specialty	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	4076	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE GROUP NUMBER
2	=========	OTHER	KENTUCKY	FEIN

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: 11/14/2023

NPI Synchronization or Removal

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