Individual
MICHAEL BRADLEY GOTTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
50102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000908872C
—
GA
05
—
000908872D
—
GA
01
—
0900422
UHC
GA
01
—
10062469
AMERIGROUP
GA
01
—
339832
WELLCARE
GA
01
—
52864125
BCBS
GA
01
—
7444426
CIGNA
GA
01
—
P00339111
RR MEDICARE-GRP # CC4177
GA
Enumeration date
07/25/2006
Last updated
09/10/2024
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