Active NPI
Alfredo Nieves Gonzalez, MD
- Gynecology Physician
- Chattanooga, TN
National Provider Identifier
1730290768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 24075
- Practice address
- 1604 Gunbarrel Rd
Chattanooga, TN 37421-3125 - Phone
- (423) 899-1165
- Fax
- (423) 899-1160
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 24075 | TN | Primary |
| Pain Medicine Physician | 208VP0000X | 24075 | TN |
Addresses
Primary practice location
1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Mailing address
1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Phone (423) 899-1165
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4133945 | Other | TN | BCBS |
| 3828641 | Other | TN | MEDICARE PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24075 | TN | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics and Gynecological Foundation | Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Chattanooga, TN
- NPI 1487649927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1730290768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 GUNBARREL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213125",
"telephone_number": "423-899-1165",
"fax_number": "423-899-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 GUNBARREL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213125",
"telephone_number": "423-899-1165",
"fax_number": "423-899-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES GONZALEZ",
"first_name": "ALFREDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "24075",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "24075",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4133945",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "3828641",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.