Individual provider Active NPI

George Bradley Gascoigne, MD

  • Pediatrics Physician
  • Bedford, OH
National Provider Identifier
1417039835
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35068978G Issued in OH
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140319001161 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1759512528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35068978GOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.