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DAVID R. GOTHAM, JR., D.O., INCORPORATED
NPI 1114110640
Orthopaedic Surgery in Rocklin, CA

Active since August 17, 2007
2204 PLAZA DR, SUITE 210, ROCKLIN, CA 95765(916) 771-9555(916) 771-9556 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David R. Gotham, Jr., D.o., Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID R. GOTHAM, JR., D.O., INCORPORATED (NPI 1114110640) is a healthcare organization registered as an orthopaedic surgery in Rocklin, California and active in the NPI registry since August 2007. The organization lists David R Gotham, President, as its authorized official.

NPPES Registry Identity

NPI1114110640
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDAVID R. GOTHAM, JR., D.O., INCORPORATED
Location Address2204 PLAZA DR, SUITE 210Rocklin, CA 95765-4413
Mailing Address7855 Wingate CtGranite Bay, CA 95746-9362 · (916) 791-9510
Phone(916) 771-9555
Fax(916) 771-9556
Organization SubpartNo
Authorized OfficialDavid R GothamPresident · (916) 616-0510
Enumeration DateAugust 17, 2007
Last NPPES UpdateJuly 30, 2009
✔ NPI 1114110640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · 20A8894
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2204 PLAZA DR, Rocklin, CA 95765
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David R. Gotham, Jr., D.o., Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David R. Gotham, Jr., D.O., Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Gotham, DO
Orthopedic Surgery
NPI 1023009297
2204 PLAZA DR SUITE 210
Rocklin, CA 95765
(916) 771-9555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David R. Gotham, Jr., D.O., Incorporated's NPI number?

The NPI number for David R. Gotham, Jr., D.O., Incorporated is 1114110640. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is David R. Gotham, Jr., D.O., Incorporated located?

David R. Gotham, Jr., D.O., Incorporated is located at 2204 Plaza Dr Suite 210, Rocklin, CA 95765. The listed phone number is (916) 771-9555.

What is David R. Gotham, Jr., D.O., Incorporated's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David R. Gotham, Jr., D.O., Incorporated enrolled in Medicare?

Yes. David R. Gotham, Jr., D.O., Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David R. Gotham, Jr., D.O., Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to David R. Gotham, Jr., D.O., Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David R. Gotham, Jr., D.O., Incorporated was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.