MICHAEL BRYAN GONZALEZ (NPI# 1073519450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073519450 |
| Entity Type | Individual |
| Full Name | MICHAEL BRYAN GONZALEZ |
| Credential | MD |
| Practice Address |
111 Hilltop St Rutherford College NC 28671-0620 |
| Mailing Address |
100 Medical Heights Dr Morganton NC 28655-5197 |
| Practice Telephone | 8288744293 |
| Practice Fax Number | 8288742357 |
| Mailing Telephone | 8284334484 |
| Mailing Fax Number | 8284334487 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2011-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 200300474 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA | 4455597 | 01 |
| NC | BCBS OF NC | 134RN | 01 |
| NC | 89134RN | 05 | |
| NC | UNITED HEALTHCARE | 12 01558 | 01 |
| NC | MEDCOST | C8954 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773987 | Michael Benjamen Gonzalez | Massage Therapist | 3970 Arizona St Apt 4, San Diego, CA 92104-8815 | 2019-11-05 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1154785871 | Michael Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Road Nw Dept of Medicine, Washington, DC 20007-2113 | 2016-04-08 |
| 1538525050 | Michael Gonzalez | Technician, Other | 19141 Box Canyon Rd, Corona, CA 92881-4239 | 2016-01-13 |
| 1902155534 | Michael Franco Gonzalez | Dentist | 7544 W North Ave Ste 4, Elmwood Park, IL 60707-2790 | 2012-08-29 |
| 1942536313 | Michael Gonzalez | Physician Assistant | 119 Retama, Suite D, Elsa, TX 78543-0066 | 2009-10-20 |
| 1720224975 | Michael Gonzalez | Pharmacist | 3 Short Street, Monticello, GA 31064-3106 | 2008-12-17 |
| 1821276692 | Michael Gonzalez | Acupuncturist | 6424 Coldwater Canyon Ave, North Hollywood, CA 91606-1113 | 2008-02-04 |
| 1477608404 | Michael Gonzalez | Dentist | 9601 Jones Rd Ste 220, Houston, TX 77065-4778 | 2007-01-23 |
| 1477194520 | Michael Gonzalez | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-30 |
| Street Address |
111 HILLTOP ST |
| City | RUTHERFORD COLLEGE |
| State | NC |
| Zip Code | 28671-0620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538221189 | William Charles Goliber | Chiropractor | 111 Hilltop St, Rutherford College, NC 28671-0306 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1730557091 | Kelly Hartman | Pharmacist | 722 Malcolm Blvd, Rutherford College, NC 28671 | 2015-09-03 |
| 1053720730 | Micah Loren Wilson | Nurse Practitioner | 111 Hilltop Street, Rutherford College, NC 28671 | 2014-08-07 |
| 1336479252 | Kristy Perry Guillen | Pharmacist | 722 Malcolm Boulevard, Rutherford College, NC 28671 | 2009-12-29 |
| 1104060433 | Carolina Orthopaedic Specialist. Pa | Durable Medical Equipment & Medical Supplies | 841 Malcolm Blvd, Rutherford College, NC 28671 | 2009-04-30 |
| 1073646865 | Morganton Eye Physicians, P.a. | Optometrist | 831 Malcolm Blvd, Rutherford College, NC 28671 | 2007-03-13 |
| 1265591317 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 301 Us 70, Rutherford College, NC 28671 | 2006-12-06 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1205847423 | Women's Health Care,p.a. | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2006-08-11 |
| 1174534648 | Morganton Eye Physicians, P.a. | Eyewear Supplier (Equipment, not the service) | 831 Malcolm Boulevard, Optical Department, Rutherford College, NC 28671 | 2006-08-10 |
| Find all providers in zip 28671 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD COLLEGE |
| Zip Code | 28671 |
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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.