Gene G Gonzales, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

33544 Issued in CO

Practice address

3301 W. 144TH Ave.
Ste. 200
Broomfield, CO 80023

Phone

(303) 659-4248

Fax

(303) 659-4283

NPI assigned

Nov 13, 2006

Sex

Female

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1598836082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W. 144TH AVE.",
            "address_2": "STE. 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-659-4248",
            "fax_number": "303-659-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W. 144TH AVE.",
            "address_2": "STE. 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-659-4248",
            "fax_number": "303-659-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "GENE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "33544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335447",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Godinez
• Kristine Godsil, DPT
• Angela Gomez
• Heather Gomez, MA, LMFT
• Andrew Michael Gonzales, PHARMD
• Achlin Gonzalez
• Adella Gonzalez, LPC-C
• Daniel Goodeill, D.O.
• Brooke Gordon, RN
• Charles Gore

• Pediatrics Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.