Active NPI
George Bradley Gottsegen, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- New Orleans, LA
National Provider Identifier
1467589150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4879
- Practice address
- 3424 Coliseum St
New Orleans, LA 70115-2427 - Phone
- (504) 895-4841
- Fax
- (504) 899-4872
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4879 | LA | Primary |
Addresses
Primary practice location
3424 Coliseum St
New Orleans, LA 70115-2427
Mailing address
399 Broadway St
New Orleans, LA 70118-3559
Phone (504) 232-6964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4879 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467589150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 BROADWAY ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701183559",
"telephone_number": "504-232-6964",
"fax_number": "504-899-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 COLISEUM ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701152427",
"telephone_number": "504-895-4841",
"fax_number": "504-899-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSEGEN",
"first_name": "GEORGE",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "4879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.