Active NPI
George Bradley Gascoigne, MD
- Pediatrics Physician
- Bedford, OH
National Provider Identifier
1417039835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35068978G
- Practice address
- 22750 Rockside Rd Ste 210
Bedford, OH 44146-1576 - Phone
- (216) 383-0100
- Fax
- (216) 383-6481
- NPI assigned
- Oct 19, 2006
- Last updated
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35068978G | OH | Primary |
Addresses
Primary practice location
22750 Rockside Rd Ste 210
Bedford, OH 44146-1576
Mailing address
PO Box 74568
Cleveland, OH 44194-0002
Phone (440) 735-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140319001161 | OH | Order and Referring Only - Pediatric Medicine | 1759512528 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35068978G | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Mednet Inc. | Past | Accepting new patients | |
| University Hospitals Medical Practices Inc | Pediatrics | Past | Accepting new patients |
| University Primary Care Practices Inc | Pediatrics | Past | Accepting new patients |
| University Hospitals Medical Practices Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1417039835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74568",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940002",
"telephone_number": "440-735-2525",
"fax_number": "440-786-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22750 ROCKSIDE RD STE 210",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441461576",
"telephone_number": "216-383-0100",
"fax_number": "216-383-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASCOIGNE",
"first_name": "GEORGE",
"middle_name": "BRADLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35068978G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.