C Fred Gott, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

20987 Issued in KY

Practice address

191 W Professional Park CT
Bowling Green, KY 42104

Phone

(270) 782-7464

Fax

(270) 782-8025

NPI assigned

Jul 13, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• C Fred Gott M.D.

  • Multi-Specialty Clinic/Center
  • Bowling Green, KY
  • NPI 1760547103
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1639177645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421021078",
            "telephone_number": "270-782-7464",
            "fax_number": "270-782-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 W PROFESSIONAL PARK CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-782-7464",
            "fax_number": "270-782-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTT",
        "first_name": "C",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "20987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000048588",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "611077855",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209877",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl R Gore, APRN
• Cheyenne Gore
• Katherine Helen Gorecki, MA, ATC
• Janeth Cruz Gossett
• Ronald Ray Gossett, KCSA
• Gould'S Discount Medical LLC
• Megan Lorene Gouvas, MS, BCBA, LBA
• John D. Gover, M.D.
• Aakash Rajiv Goyal
• Medhat N. Grace, M.D.

• Cardiovascular Disease Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.