Gavin Louis Bordogna, RN,BSN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN663606 Issued in PA

Practice address

2570 Haymaker Rd
Monroeville, PA 15146-3513

Phone

(412) 858-2000

NPI assigned

Apr 5, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1124607312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463513",
            "telephone_number": "412-858-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463513",
            "telephone_number": "412-858-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDOGNA",
        "first_name": "GAVIN",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "RN,BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN663606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Elizabeth Bogolin, LAPC
• Ella Rose Bommer, M.S. CCC SLP
• Thomas F Bonacorsi, M.D.
• Kaley Ann Booher
• Emily Elnora Booth, LCSW
• Shannon Kay Boring
• Sharon Borovetz, MS, RDN
• Susan A Boss, PA-C
• Walter Dennis Bossick, DMD
• Renee Bourg-Giarusso, L.P.C.

• Critical Care Medicine Registered Nurse in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Critical Care Medicine Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.