Active NPI
Troy Josef Gottlieb, DO
- Student in an Organized Health Care Education/Training Program
- Greeley, CO
National Provider Identifier
1730718198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 8407 18TH Street Rd
Greeley, CO 80634-4747 - Phone
- (215) 375-8912
- NPI assigned
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
8407 18TH Street Rd
Greeley, CO 80634-4747
Mailing address
8407 18TH Street Rd
Greeley, CO 80634-4747
Phone (215) 375-8912
Other practice location 1
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 430-5560
Other practice location 2
500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 327-1100
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1730718198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8407 18TH STREET RD",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344747",
"telephone_number": "215-375-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8407 18TH STREET RD",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344747",
"telephone_number": "215-375-8912"
}
],
"practiceLocations": [
{
"address_1": "14300 Orchard Pkwy",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800239206",
"country_code": "US",
"telephone_number": "303-430-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Cherry St",
"address_purpose": "LOCATION",
"city": "Bluefield",
"state": "WV",
"postal_code": "247013306",
"country_code": "US",
"telephone_number": "304-327-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTTLIEB",
"first_name": "TROY",
"middle_name": "JOSEF",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.