Peter Joseph Gergen, M.D.,M.P.H.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0033331 Issued in MD

Practice address

6610 Rockledge Dr
RM 3067
Bethesda, MD 20892-6610

Phone

(301) 451-3233

NPI assigned

Nov 8, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1235209172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RM 3067 6610 ROCKLEDGE DRIVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208926610",
            "telephone_number": "301-451-3233",
            "fax_number": "301-480-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 ROCKLEDGE DR",
            "address_2": "RM 3067",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208926610",
            "telephone_number": "301-451-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGEN",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0033331",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "22082-020",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD18708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365694",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey George, PHARM.D
• Amy Georgeadis, SLP
• Iralia Georgiou, M.D.
• Jennifer Geracht, M.D.
• Ann Gerber, R.D., L.D.
• Kayla Gerhold
• Kimberly Anne Gerling
• Easton B Germain, PT
• John Gershefski, PH.D.
• Marvin C Gershengorn, M.D.

• Pediatrics Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.