Individual provider Active NPI

Charles Anthony Gonzalez, M.D.

  • Specialist
  • Bessemer, AL
National Provider Identifier
1972608396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00008314 Issued in AS
Practice address
985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809
Phone
(205) 481-7384
Fax
(205) 481-7389
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00008314 AS Primary

Addresses

Primary practice location

985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809

Mailing address

985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809
Phone (205) 481-7384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000480 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 6800850082

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

985 9TH Ave
Suite 307
Bessemer, AL 35022-7809

985 9TH Swave
Suite 307
Bessemer, AL 35022-7809

Hospital & facility affiliations

  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00008314ASMDSpecialist

Networks

  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0
  • bcbs alabama network 01I0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972608396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 307",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227809",
            "telephone_number": "205-481-7384",
            "fax_number": "205-481-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 307",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227809",
            "telephone_number": "205-481-7384",
            "fax_number": "205-481-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AS",
            "license": "00008314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.