GWB Tech Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4416 Issued in NV

Legal business name

GWB TECH CORP

Practice address

9775 S Maryland Pkwy
Suite 170
Las Vegas, NV 89183-7122

Phone

(702) 418-7536

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Gregory Bergner

Title

Ceo

Phone

(702) 418-7536

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1831404730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 S MARYLAND PKWY",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 S MARYLAND PKWY",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837122",
            "telephone_number": "702-418-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWB TECH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "BERGNER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-418-7536"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania R Guzman
• Vanessa Janet Guzman
• Cyrus Guzon
• Denice Rachel Guzzardo, PA
• Desaree Guzzo
• GWC DO PC
• Migum Gweon, LMFT
• Kareem Jabraun Gwinn
• Sheranda Lynn Gwinn
• Nicole Folani Gwyn

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.