Michael Bryan Gonzalez, MD is a
Pediatrics physician based in Rutherford College, North Carolina. Michael Bryan Gonzalez is licensed to practice in North Carolina (license number 200300474) and his current practice location is 111 Hilltop St, Rutherford College, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(828) 874-4293.
NPI number for Michael Bryan Gonzalez is 1073519450 and his current mailing address is 100 Medical Heights Dr, Morganton, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073519450.
Physician's Profile
| Full Name | Michael Bryan Gonzalez |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 111 Hilltop St, Rutherford College, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073519450
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 04/14/2011
Medical Identifiers
Medical identifiers for Michael Bryan Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073519450 | NPI | - | NPPES |
| 4455597 | Other | NC | AETNA |
| 89134RN | Medicaid | NC | |
| 12 01558 | Other | NC | UNITED HEALTHCARE |
| C8954 | Other | NC | MEDCOST |
| 134RN | Other | NC | BCBS OF NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 200300474 (North Carolina) | Primary |
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. Michael Bryan Gonzalez 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 Address | Practice Location Address |
|---|
Michael Bryan Gonzalez, MD
100 Medical Heights Dr,
Morganton, NC 28655-5197
Ph: (828) 433-4484 | Michael Bryan Gonzalez, MD
111 Hilltop St,
Rutherford College, NC 28671-0620
Ph: (828) 874-4293 |
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