Individual provider Active NPI

Nicanda Norrie Gordon, MD

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1043954472
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME171445 Issued in FL
Practice address
237 George Bush Blvd
Delray Beach, FL 33444-4034
Phone
(561) 272-5373
Fax
(833) 625-1627
NPI assigned
Apr 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME171445 FL Primary

Addresses

Primary practice location

237 George Bush Blvd
Delray Beach, FL 33444-4034

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710003111 FL Practitioner - Family Practice 6608380555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

237 George Bush Blvd
Delray Beach, FL 33444-4034
Phone (561) 272-5373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Aug 1, 2025 Accepting new patients
Bocacare Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

237 NE 8th St
Delray Beach, FL 33444
Phone (561) 272-4888

Interoperability endpoints

  • Direct secure messaging: nicanda.gordon.1@26289.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1043954472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663",
            "fax_number": "561-955-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 GEORGE BUSH BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444034",
            "telephone_number": "561-272-5373",
            "fax_number": "833-625-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NICANDA",
        "middle_name": "NORRIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME171445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.