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

Dr. Mark Steven Gottlieb, DO

Individual provider Family Medicine Physician · NPI 1174843643

Dr. Mark Steven Gottlieb, DO is a Family Practice in Richmond, Virginia. Qualified in 1990, 36 years ago. Practices with Jordan Ridge Family Medicine LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada, Pennsylvania and Utah.

Years since qualifying
36
Licensed in
NV, PA, UT
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1712 E Broad St
Richmond, VA 23223-6930
Phone: (804) 344-9848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1403 E Sego Lily Dr # 100b, Sandy, UT 84092-4350 — (801) 316-9620

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14197633-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS007588L (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO2844 (NV)

Record details

NPI number1174843643
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2010
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Jordan Ridge Family Medicine Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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