Healthcare Provider Details
I. General information
NPI: 1932339132
Provider Name (Legal Business Name): BRIDGET M SWEENEY GOTSCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2009
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 BLOSSOM ST
WEBSTER TX
77598-4204
US
IV. Provider business mailing address
7400 FANNIN ST STE 810
HOUSTON TX
77054-1935
US
V. Phone/Fax
- Phone: 409-772-3695
- Fax: 409-772-3680
- Phone: 713-512-8500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | R5657 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 036122408 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | R5657 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: