Organization Active NPI

Gordian Medical V, Inc.

Doing business as American Medical Technologies

Durable Medical Equipment & Medical Supplies
Houston, TX

National Provider Identifier

1225413743

Registry record updated Mar 15, 2024

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Houston, TX
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License: 1001540 Issued in TX
Legal business name: GORDIAN MEDICAL V, INC.
Doing business as: American Medical Technologies
RestorixHealth
Practice address: 9894 Bissonnet St Ste 284
Houston, TX 77036-8376
Phone: (832) 365-5117
Fax: (877) 380-8282
NPI assigned: Jul 26, 2015
Organization subpart: Yes
Parent organization: GORDIAN MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name: Jeffrey Bowman
Title: President
Phone: (714) 556-0200

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	1001540	TX	Primary

Addresses

Primary practice location

9894 Bissonnet St Ste 284
Houston, TX 77036-8376

Mailing address

750 The City Dr S Ste 225
Orange, CA 92868-4976
Phone (832) 365-5117

Other identifiers 30

Identifier	Type	State	Issuer
1038779370001	Medicaid	PA
1225413743	Medicaid	CA
MP01520	Other	NV	DME LICENSE
PHDME000699	Other	GA	DME LICENSE
203002698	Other	IL	DME LICENSE
362093201	Medicaid	TX
DME-0112	Other	HI	DME LICENSE
DME59406	Other	ID	DME LICENSE
01331701	Medicaid	NM
0237000360	Other	VA	DME LICENSE
0389768	Medicaid	OH
08577	Other	NH	DME LICENSE
100189769	Medicaid	WI
1225413743	Medicaid	UT
07027498	Medicaid	NY
16128	Other	MS	DME LICENSE
155146900	Medicaid	WY
6709193	Medicaid	VT
7543020001	Other		MEDICARE NSC
6000010257	Other	PA	DME LICENSE
C001982	Other	AZ	DME LICENSE
1212170003	Medicaid	ME
DM1650	Medicaid	SC
DME001185-NR	Other	LA	DME LICENSE
1001898	Other	TX	DME LICENSE
112100	Other	CA	DME LICENSE
1225413743	Medicaid	MI
2155882	Medicaid	WA
265661	Other	KY	DME LICENSE
CSW.0004016	Other	CT	DME LICENSE

Other names 2

American Medical Technologies Doing business as
RestorixHealth Doing business as

Electronic endpoints 1

Type	Endpoint	Use	Affiliation
CONNECT URL	https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service	Other	Ability Network

National Provider Directory

Part of: Gordian Medical Inc

Locations

9894 Bissonnet St
Ste 284
Houston, TX 77036
Phone (832) 365-5117

NPI Registry JSON

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

{
    "created_epoch": "1437868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1225413743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 THE CITY DR S STE 225",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684976",
            "telephone_number": "832-365-5117",
            "fax_number": "877-380-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST STE 284",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368376",
            "telephone_number": "832-365-5117",
            "fax_number": "877-380-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDIAN MEDICAL V, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GORDIAN MEDICAL, INC.",
        "enumeration_date": "2015-07-26",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-556-0200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038779370001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225413743",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "MP01520",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "PHDME000699",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "203002698",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362093201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "DME-0112",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "DME59406",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01331701",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "0237000360",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0389768",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "08577",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189769",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225413743",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07027498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "16128",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155146900",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6709193",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7543020001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "6000010257",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "C001982",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1212170003",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1650",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "DME001185-NR",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "1001898",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "112100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225413743",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155882",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "265661",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "CSW.0004016",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "American Medical Technologies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RestorixHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.