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BERT WALTER GOTTESMAN M.D.
NPI 1417234774
General Practice in Brooklyn, NY

Active since November 14, 2011
4802 12TH AVE, 1B, BROOKLYN, NY 11219(347) 417-1165 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bert Walter Gottesman M.d. NPPES

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

BERT WALTER GOTTESMAN M.D. (NPI 1417234774) is an individual general practice provider in Brooklyn, New York, licensed in New York (148220) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1417234774
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBERT WALTER GOTTESMANCredential: M.D.
Location Address4802 12TH AVE, 1BBrooklyn, NY 11219-3072
Mailing Address4802 12th Ave, 1bBrooklyn, NY 11219-3072 · (347) 417-1165
Phone(347) 417-1165
Sole ProprietorYes
Enumeration DateNovember 14, 2011
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1417234774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 148220
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 148220 (NY)
4802 12TH AVE, Brooklyn, NY 11219
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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 Bert Gottesman's NPI number?

The NPI number for Bert Gottesman is 1417234774. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is Bert Gottesman located?

Bert Gottesman practices at 4802 12th Ave 1B, Brooklyn, NY 11219. The listed phone number is (347) 417-1165.

What is Bert Gottesman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bert Gottesman was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.