DR. BERNARD GOTTSCHALK (NPI# 1629298872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629298872 |
Entity Type | Individual |
Full Name | DR. BERNARD GOTTSCHALK |
Credential | MD |
Practice Address |
2520 Troy Dr Wilmington NC 28401-7661 |
Practice Telephone | 9107622727 |
Enumeration Date | 2007-04-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
NC30162 | NC | Allopathic & Osteopathic Physicians |
Street Address |
2520 TROY DR |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902825169 | Wilmington Treatment Center, Inc. | Clinic/Center | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2006-07-19 |
1083215917 | Stephanie D. Holderman | Registered Nurse | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2020-11-06 |
1902445182 | Jamie Elizabeth Mcginn | Psychiatry & Neurology | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2020-01-05 |
1932746385 | Michael Francis Nash | Counselor | 2520 Troy Dr, Wilmington, NC 28401-7643 | 2019-12-04 |
1588151294 | Wilmington Treatment Center, Inc. | General Acute Care Hospital | 2520 Troy Dr, Wilmington, NC 28401 | 2018-04-18 |
1184030546 | Mary Jean Dowd | Counselor | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2014-07-07 |
1992027288 | Sarah Elizabeth Burdette | Counselor | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2010-02-27 |
1114056298 | The Wilmington Treatment Center | Substance Abuse Rehabilitation Facility | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043853120 | Christiana Care Health Services Inc | Internal Medicine | 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 | 2019-10-22 |
1326404344 | Premiere Health and Wellness Medical Center | Internal Medicine | 1020 Rankin St, Suite 412, Wilmington, NC 28401-3700 | 2016-01-06 |
1629012877 | James Craig Strafford | Internal Medicine | 485 W Main St, Wilmington, OH 45177 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447715941 | Ascend Health Pllc | Internal Medicine | 10831 Pineville Rd Ste 9, Pineville, NC 28134-8137 | 2019-02-08 |
1255751467 | Jamie Carter | Internal Medicine | 31 Falling Water Dr, Apt/suite, Durham, NC 27713-7729 | 2014-04-27 |
1588863161 | Mayisha White Dunham | Internal Medicine | 170 Whitmore Cove Ct, Clemmons, NC 27012-8883 | 2007-07-13 |
1790811982 | Jana Kaye Burson | Internal Medicine | 20726 Lagoona Dr, Cornelius, NC 28031-7114 | 2007-02-24 |
1174017511 | Med-x Consulting, PC | Internal Medicine | 10901 Ashland Mill Ct, Raleigh, NC 27617-7765 | 2018-06-19 |
1508116278 | Oncall Mobile Medical and Wellness Pllc | Internal Medicine | 6428 W Wilkinson Blvd, Suite 241, Belmont, NC 28012-2858 | 2012-09-10 |
1427273952 | Sachin Patel | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2007-04-17 |
1295819993 | Veeraindar Goli | Internal Medicine | 2100 Erwin Rd, Duke Univ Med Center, Durham, NC 27710 | 2006-10-25 |
City | WILMINGTON |
Zip Code | 28401 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.