Active NPI
Ronald Gottschalk, MD
- Dermatology Physician
- North Richland Hills, TX
National Provider Identifier
1225404049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35-05-1154-G
- Practice address
- 8213 Bridge St
North Richland Hills, TX 76180-5535 - Phone
- (817) 896-1689
- NPI assigned
- Aug 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35-05-1154-G | OH | Primary |
Addresses
Primary practice location
8213 Bridge St
North Richland Hills, TX 76180-5535
Mailing address
8213 Bridge St
North Richland Hills, TX 76180-5535
Phone (817) 896-1689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439683200000",
"number": "1225404049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8213 BRIDGE ST",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761805535",
"telephone_number": "817-896-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8213 BRIDGE ST",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761805535",
"telephone_number": "817-896-1689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "RONALD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-16",
"last_updated": "2015-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35-05-1154-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.