Bryan Gordon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2774306-1202 Issued in UT

Practice address

2618 W 7800 S
Suite #200
West Jordan, UT 84088-4208

Phone

(801) 562-1531

Fax

(801) 562-1534

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bryan D. Gordon P.C.

  • Chiropractor
  • West Jordan, UT
  • NPI 1477704484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093888232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95928",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950928",
            "telephone_number": "801-562-1531",
            "fax_number": "801-562-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 W 7800 S",
            "address_2": "SUITE #200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884208",
            "telephone_number": "801-562-1531",
            "fax_number": "801-562-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BRYAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "2774306-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS NUMBER",
            "identifier": "27743061202001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia L Gonzalez
• Good Shepherd Homecare and Hospice of Utah LLC (Good Shepherd Homecare & Hospice)
• Good Shepherd Medical Group
• Christine Bryanne Goodell, D.D.S
• Leslie L Goodwin, MD
• Crystal Miquel Gordon
• Janna Gordon, PHD
• Madison Gordon
• Megan Gorton, DC
• Isaac Gottsch

• Chiropractor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.