B BOTTENBERG D O PRFSNL CORP
NPI 1417139577
Internal Medicine in Carson City, NV

Q: What is B Bottenberg D O Prfsnl Corp's NPI number?

The NPI number for B Bottenberg D O Prfsnl Corp is 1417139577. It was assigned to this organization in the NPPES registry on November 30, 2007.

Q: What is B Bottenberg D O Prfsnl Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 30, 2007

550 W WASHINGTON ST, SUITE 1, CARSON CITY, NV 89703(775) 883-3953(775) 885-2785 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About B Bottenberg D O Prfsnl Corp NPPES

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

B BOTTENBERG D O PRFSNL CORP (NPI 1417139577) is a healthcare organization registered as an internal medicine in Carson City, Nevada and active in the NPI registry since November 2007. The organization lists B Alan Bottenberg, Physician, as its authorized official.

NPPES Registry Identity

NPI1417139577

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameB BOTTENBERG D O PRFSNL CORP

Location Address550 W WASHINGTON ST, SUITE 1Carson City, NV 89703-3829

Mailing Address550 W Washington St, Ste 1Carson City, NV 89703-3829 · (775) 883-3953 · Fax (775) 885-2785

Phone(775) 883-3953

Fax(775) 885-2785

Organization SubpartNo

Authorized OfficialB Alan BottenbergPhysician · (775) 883-3953

Enumeration DateNovember 30, 2007

Last NPPES UpdateDecember 5, 2007

✔ NPI 1417139577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · DO674

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

550 W WASHINGTON ST, Carson City, NV 89703

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Other Identifiers 1

Medicare PINV39144NV

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)

B Bottenberg D O Prfsnl Corp 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 B Bottenberg D O Prfsnl Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

B Bottenberg, D.O.

Internal Medicine

NPI 1942210349

550 W WASHINGTON ST SUITE 1
Carson City, NV 89703

(775) 883-3953

✔ 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 B Bottenberg D O Prfsnl Corp's NPI number?

The NPI number for B Bottenberg D O Prfsnl Corp is 1417139577. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is B Bottenberg D O Prfsnl Corp located?

B Bottenberg D O Prfsnl Corp is located at 550 W Washington St Suite 1, Carson City, NV 89703. The listed phone number is (775) 883-3953.

What is B Bottenberg D O Prfsnl Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is B Bottenberg D O Prfsnl Corp enrolled in Medicare?

Yes. B Bottenberg D O Prfsnl Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through B Bottenberg D O Prfsnl Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to B Bottenberg D O Prfsnl Corp. 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 B Bottenberg D O Prfsnl Corp was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.