Barry Gordon D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2470 Issued in FL

Legal business name

BARRY GORDON D.C., P.A.

Practice address

1986 31St Ave
Suite 110
Vero Beach, FL 32960-6628

Phone

(772) 567-3334

Fax

(772) 567-4523

NPI assigned

Jan 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Thad Barry Gordon, DC

Title

President

Phone

(772) 567-3334

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1154625978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1986 31ST AVE",
            "address_2": "SUITE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606628",
            "telephone_number": "772-567-3334",
            "fax_number": "772-567-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 31ST AVE",
            "address_2": "SUITE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606628",
            "telephone_number": "772-567-3334",
            "fax_number": "772-567-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY GORDON D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-567-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELS",
            "identifier": "89915",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400124",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Andrew Barnhart, PHARMD
• Livya Barreirinhas, MSPT
• Michael Joseph Barrett, APRN
• Soren James Barrett, PH.D
• Tina Michelle Barrett, FNP
• Christina Lauren Barry
• Blake William Bartholomew
• Charles J Bartkus, DC
• Shannon H Bass, M.ED.
• Lauren K Basso

• Chiropractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.