Individual
C FRED GOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 W PROFESSIONAL PARK CT, BOWLING GREEN, KY 42104
(270) 782-7464
(270) 782-8025
Mailing address
PO BOX 1078, BOWLING GREEN, KY 42102-1078
(270) 782-7464
(270) 782-8025
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20987
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048588
BLUE CROSS BLUE SHIELD
KY
01
—
611077855
FED TAX ID
KY
05
—
64209877
—
KY
Enumeration date
07/13/2005
Last updated
06/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us