GP Familycare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

028661 Issued in CT

Legal business name

GP FAMILYCARE, LLC

Practice address

157 Montauk Ave
New London, CT 06320-4842

Phone

(860) 437-0333

Fax

(860) 439-1330

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary M. Bertman, M.D.NPI 1669568309

Title

Owner

Phone

(860) 437-0333

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary M. Bertman, M.D.

  • Family Medicine Physician
  • New London, CT
  • NPI 1669568309
  Authorized official Same address or phone

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1629263637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204842",
            "telephone_number": "860-437-0333",
            "fax_number": "860-439-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204842",
            "telephone_number": "860-437-0333",
            "fax_number": "860-439-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP FAMILYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BERTMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-437-0333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "028661",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "016287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Gonzalez
• Abigail Goodale, PA-C
• Dennis S Gordan, M.D.
• Erin Gorman, BA
• Barbara A Gotay Matthew, LADC
• Marvin Graham, CRNA
• Curt Wilson Gramlich, MD
• Kirstin Grant, PA
• Nancy M Grant, PNP
• Kathryn Marie Graves, APRN, NP-C

• Family Medicine Physician in New London, CT
• Providers in New London, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.