Individual
MICHAEL BRADLEY GOTTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501-3806
(770) 292-6500
(770) 292-6535
Mailing address
1475 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501-3806
(770) 292-6500
(770) 292-6535
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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