Individual provider · Type 1 NPI

Kameron Bethany Gottlieb, PA-C

Physician Assistant · Madison, WI

NPI number 1134050511 Active

Practice location

1102 S Park St
Madison, WI 53715-1708

Call (608) 263-3111 Map

Mailing address

2725 Marshall Ct Apt 304
Madison, WI 53705-2288

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134050511

Kameron Bethany Gottlieb, PA-C's National Provider Identifier is 1134050511, issued on May 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Madison, WI. The record was last updated on May 26, 2026.