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KAMERON BETHANY GOTTLIEB PA-C
NPI 1134050511
Physician Assistant in Madison, WI

Active since May 26, 2026
1102 S PARK ST, MADISON, WI 53715(608) 263-3111 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kameron Bethany Gottlieb Pa-c NPPES

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

KAMERON BETHANY GOTTLIEB PA-C (NPI 1134050511) is an individual physician assistant in Madison, Wisconsin and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1134050511
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAMERON BETHANY GOTTLIEBCredential: PA-C
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address2725 Marshall Ct Apt 304Madison, WI 53705-2288 · (847) 440-6622
Phone(608) 263-3111
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1134050511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1102 S PARK ST, Madison, WI 53715
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN J REGNER MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
LEA GARDINER RN
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
ALLISON PLUMMER MSSW
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
JOSE MANUEL CARRILLO MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
JULITA ANNA JANKOWSKA LICENSED PROFESSIONA
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
KETTY THERTUS M.D.
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
RHONDA L SAGER MA, BA, SAC-IT
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111

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 Kameron Gottlieb's NPI number?

The NPI number for Kameron Gottlieb is 1134050511. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Kameron Gottlieb located?

Kameron Gottlieb practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 263-3111.

What is Kameron Gottlieb's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kameron Gottlieb was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.