Gerardo Sixto Gonzalez, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

28151 Issued in AL

Practice address

239 Mitylene Park Dr
Montgomery, AL 36117-3547

Phone

(334) 612-2111

Fax

(334) 612-2166

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Interoperability endpoints

• Direct secure messaging: gerardo.gonzalez@direct.baptistfirst.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Specialists of Montgomery, L.L.C.

  • Pediatric Cardiology Physician
  • Montgomery, AL
  • NPI 1891766762
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1245206804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173547",
            "telephone_number": "334-612-2111",
            "fax_number": "334-612-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173547",
            "telephone_number": "334-612-2111",
            "fax_number": "334-612-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GERARDO",
        "middle_name": "SIXTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "15036R",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AL",
            "license": "28151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009998874",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Lynn Golden, RDH
• Eugene Paul Goldman, D.P.M.
• Santina Golson, MS, ALC
• Shannon Gonstad
• Radimill Gonzalez Burgos, PHAR-D
• Robert Gonzalez, APN
• Timothy Marshall Goode, LMFT
• James Means Gooden
• Shereka Gooden
• Lisa Ann Goodman, CRNP

• Pediatric Cardiology Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatric Cardiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.