Individual
MICHAEL BRYAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 HILLTOP ST, RUTHERFORD COLLEGE, NC 28671-0620
(828) 874-4293
(828) 874-2357
Mailing address
100 MEDICAL HEIGHTS DR, MORGANTON, NC 28655-5197
(828) 433-4484
(828) 433-4487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200300474
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12 01558
UNITED HEALTHCARE
NC
01
—
134RN
BCBS OF NC
NC
01
—
4455597
AETNA
NC
05
—
89134RN
—
NC
01
—
C8954
MEDCOST
NC
Enumeration date
06/22/2005
Last updated
04/14/2011
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