Bert Walter Gottesman, MD - General Practice in Brooklyn, NY

Bert Walter Gottesman, MD is a General Practice physician based in Brooklyn, New York. Bert Walter Gottesman is licensed to practice in New York (license number 148220) and his current practice location is 4802 12th Ave, 1b, Brooklyn, New York. He can be reached at his office (for appointments etc.) via phone at (347) 417-1165.

NPI number for Bert Walter Gottesman is 1417234774 and his current mailing address is 4802 12th Ave, 1b, Brooklyn, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417234774.

Contact Information

Bert Walter Gottesman, MD
4802 12th Ave, 1b,
Brooklyn, NY 11219-3072
(347) 417-1165
Not Available



Physician's Profile

Full NameBert Walter Gottesman
GenderMale
SpecialityGeneral Practice
Location4802 12th Ave, Brooklyn, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417234774
  • Provider Enumeration Date: 11/14/2011
  • Last Update Date: 01/28/2013

Medical Identifiers

Medical identifiers for Bert Walter Gottesman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417234774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 148220 (New York)Primary
208100000XPhysical Medicine & Rehabilitation 148220 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bert Walter Gottesman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bert Walter Gottesman, MD
4802 12th Ave, 1b,
Brooklyn, NY 11219-3072

Ph: (347) 417-1165
Bert Walter Gottesman, MD
4802 12th Ave, 1b,
Brooklyn, NY 11219-3072

Ph: (347) 417-1165

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