Gerald W Bottenfield
M.D. | Pediatrics | Male
Gerald W Bottenfield, M.D. is a Lake Jackson, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Gerald W Bottenfield is
210 Lake Rd Ste 600, Lake Jackson, Texas - 77566-4982. He can be contacted on phone at
979-297-7337 and fax number 979-297-9096.
Gerald W Bottenfield is a sole proprietor of his business.
NPI number (Unique professional ID) for Gerald W Bottenfield is
1124084231 which was assigned by NPPES on 26 Apr, 2006 and it was last updated on 19 Dec, 2019.
Gerald W Bottenfield license number is
G4086 for Pediatrics (208000000X) in Texas.
Gerald W Bottenfield is a pediatrician who 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.
Complete Profile:
Gerald W Bottenfield basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Gerald W Bottenfield |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Gerald W Bottenfield address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 210 Lake Rd Ste 600
Lake Jackson, TX, 77566-4982
United States |
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| Phone Number : | 979-297-7337 |
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| Fax Number : | 979-297-9096 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124084231 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Apr, 2006 |
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| Last Updated On : | 19 Dec, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gerald W Bottenfield are as mentioned. Primary taxonomy code for Gerald W Bottenfield, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G4086 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Gerald W Bottenfield such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 121182303 | MEDICAID | TX | |
| 76-0281933 | Other | TX | EIN |
| 82971Y | Other | TX | BLUE CROSS BLUE SHIELD |
| 121182304 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
207 THAT WAY ST # A-1,
LAKE JACKSON, TX, 77566-5211
United States | LAKE JACKSON, TX | 979-297-7337 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 210 Lake Rd Ste 600
Lake Jackson, TX, 77566-4982
United States |
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| Phone Number : | 979-297-7337 |
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| Fax Number : | 979-266-9076 |
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Business Location:
Patients can refer following map for directions to
Gerald W Bottenfield practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.