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

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

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