Individual provider Active NPI

Bruce S Gottlieb, MD

  • Anesthesiology Physician
  • Boca Raton, FL
National Provider Identifier
1609815695
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME55718 Issued in FL
Practice address
9301 Boca Gardens Cir S
Suite F
Boca Raton, FL 33496-1798
Phone
(561) 414-9077
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME55718 FL Primary
Addiction Medicine (Anesthesiology) Physician 207LA0401X ME55718 FL
Pain Medicine Physician 208VP0000X ME55718 FL
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME55718 FL

Addresses

Primary practice location

9301 Boca Gardens Cir S
Suite F
Boca Raton, FL 33496-1798

Mailing address

9301 Boca Gardens Cir S
Suite F
Boca Raton, FL 33496-1798
Phone (561) 414-9077

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
D & G Associates,Inc. Anesthesiology Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Anesthesiology PastSince Jan 19, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1609815695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 BOCA GARDENS CIR S",
            "address_2": "SUITE F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961798",
            "telephone_number": "561-414-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 BOCA GARDENS CIR S",
            "address_2": "SUITE F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961798",
            "telephone_number": "561-414-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME55718",
            "primary": true
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "ME55718",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME55718",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME55718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.