Bernard Gottlieb MD Inc

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

C19354 Issued in CA

Legal business name

BERNARD GOTTLIEB MD INC

Practice address

1666 N Waterman Ave
San Bernardino, CA 92404-5113

Phone

(888) 700-0881

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Gottlieb, M.D.

Title

Pathologist

Phone

(888) 700-0881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1679693923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10517",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230517",
            "telephone_number": "888-400-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045113",
            "telephone_number": "888-700-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD GOTTLIEB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "888-700-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "C19354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Bernal
• Gladis Bernal
• Irene Bernal, LMFT
• Cherrish Bernard
• Brittnie Bernardino
• Estefany Bernardino, LVN
• Raelynn Berrios, MSW
• Ryan Berryman

• Dermatopathology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.