Eugene Adrian Gonzales, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36841 Issued in WI

Practice address

1735 Madison Rd
Beloit, WI 53511-3216

Phone

(608) 363-7510

Fax

(608) 363-7528

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1558406637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-363-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MADISON RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113216",
            "telephone_number": "608-363-7510",
            "fax_number": "608-363-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "EUGENE",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "36841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321584000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krzysztof Goetzen, MD
• Kenneth I Gold, MD
• Gonstead Chiropractic Clinic SC
• Andrea Gonstead, DC
• Eric J Gonstead, DC
• Giuliana Jose Gonzalez Barrios, FNP
• Jaime Gonzalez, MD
• Eric J Goth, MD
• Joseph Gottinger, PA-C
• Heidi Graber, LMHC, LPC

• Family Medicine Physician in Beloit, WI
• Providers in Beloit, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.