Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124084231 Individual Practitioner Male Practitioner

Dr. Gerald W Bottenfield , MD

Pediatrics • Lake Jackson, TX

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Bottenfield, MD is a registered healthcare professional specializing in Pediatrics in Lake Jackson, TX. Practice services are available at 210 LAKE RD STE 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 Lake Rd Ste 600

Lake Jackson, TX 775664982

Telephone 9792977337
Fax 9792979096
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lake Jackson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Lake Jackson, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX G4086

A pediatrician 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
121182303 (TX)
Medicaid State Provider ID
121182304 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
82971Y (TX)

Secondary Practice Locations

207 That Way St # A-1

Lake Jackson, TX 775665211

Phone: 9792977337

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Lesley Nairn , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1003457029

CPNPPC

NPI 1316474661

Doctor of Medicine (M.D.)

Madelyn Roeder , APRN, FNP-C

Nurse Practitioner - Primary Care

NPI 1316662836

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Andrea Todd , FNP-C

Nurse Practitioner - Family

NPI 1346873437

Family Nurse Practitioner (Certified)

Ashley Voltz , FNP-BC

Nurse Practitioner - Family

NPI 1497410419

Family Nurse Practitioner (Board Certified)

NPI 1518923440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 19, 2019

Registered at 210 LAKE RD STE 600, LAKE JACKSON, TX 775664982 (Tel: 9792977337)

📍
Updated Business Mailing Address December 19, 2019

Registered at 210 LAKE RD STE 600, LAKE JACKSON, TX 775664982 (Tel: 9792977337)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 54 FLAG LAKE PLZ, LAKE JACKSON, TX 775666263 (Tel: 9792970251)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 4358, RT 4, BRAZORIA, TX 77422 (Tel: 9797984343)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GERALD BOTTENFIELD, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #G4086 in TX)

🟢
Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124084231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: December 19, 2019
Sole Proprietor: Yes

Mailing Address

210 Lake Rd Ste 600

Lake Jackson, TX 775664982

Phone: 9792977337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.