Gregory Gail Brott, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A21594 Issued in CA

Practice address

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817-3648

Phone

(916) 875-2995

Fax

(916) 875-2921

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043395767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001A EAST PKWY # 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232501",
            "telephone_number": "916-875-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 MARTIN LUTHER KING JR BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958173648",
            "telephone_number": "916-875-2995",
            "fax_number": "916-875-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTT",
        "first_name": "GREGORY",
        "middle_name": "GAIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A21594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilfred Carnell Broom
• Catherine Elise Broomand, PH.D.
• Jessica Caitlyn Brossart
• Julia Rae Brosterhous, RN, PHN
• John A. Brothers, M.D.
• Aijanae L Broughton
• Eden Kathleen Broughton
• Kenneth Broughton
• Makenna Alia Broughton
• Kiana Brousard

• Pediatrics Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.