Go Gently Medical Group. Inc

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

GO GENTLY MEDICAL GROUP. INC

Doing business as

Bristol Advanced Illness Management
Go Gently Medical Group, Inc

Practice address

2140 Professional Dr Ste 210
Roseville, CA 95661-3776

Phone

(916) 970-1700

Fax

(916) 751-7290

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Broadway

Title

Chief Quality Officer

Phone

(254) 760-5743

Specialties & licenses 2

Addresses

Other names 2

• Bristol Advanced Illness Management Doing business as
• Go Gently Medical Group, Inc Doing business as

Locations

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1447889274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PROFESSIONAL DR STE 210",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613776",
            "telephone_number": "916-970-1700",
            "fax_number": "916-751-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO GENTLY MEDICAL GROUP. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "BROADWAY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF QUALITY OFFICER",
        "authorized_official_telephone_number": "254-760-5743"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Advanced Illness Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Go Gently Medical Group, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivie Colleen Glazier
• Global Health Information Technology LLC
• John Patrick Azucena Gloria, DPT
• Arthur T. Glover Sr., MD
• Susan M Glowes, LCSW
• Kimberly Frances Goehring
• Namrita Gogia, M.D.
• Mudita Gogna, M.D.
• Albina Salas Gogo, M.D.
• William Troy Goings, LMT

• Hospice and Palliative Medicine (Internal Medicine) Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.