Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bert Walter Gottesman, MD

Individual provider General Practice Physician · NPI 1417234774

Bert Walter Gottesman, MD is a General Practice Physician in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4802 12th Ave 1B
Brooklyn, NY 11219-3072
Phone: (347) 417-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 148220 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 148220 (NY)

Record details

NPI number1417234774
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 14, 2011
Last updated in NPPESJanuary 28, 2013
Mailing address4802 12th Ave, 1b, Brooklyn, NY 11219-3072

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