Bruce Gordy DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8095 Issued in FL

Legal business name

BRUCE GORDY DMD PA

Practice address

1216 Edgewater Dr
Orlando, FL 32804-6391

Phone

(407) 422-1130

Fax

(407) 841-5651

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Chaney Bruce Gordy, DMDNPI 1902912298

Title

Owner

Phone

(407) 422-1130

Specialties & licenses 1

Addresses

Other names 1

• GORDY FAMILY DENTAL Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaney B Gordy, D.M.D.

  • Dentist
  • Orlando, FL
  • NPI 1902912298
  NPD (past) Authorized official
• Caroline Gordy, DDS

  • Dentist
  • Orlando, FL
  • NPI 1689078768
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1326419474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046391",
            "telephone_number": "407-422-1130",
            "fax_number": "407-841-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046391",
            "telephone_number": "407-422-1130",
            "fax_number": "407-841-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE GORDY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "CHANEY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-422-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GORDY FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney J Brownfield Salahuddin, BS
• Amy Lynn Browning, APRN
• Brian L. Browning, D.O.
• Lisa Blondell Browning, DDS
• Helen E. Brownson, APRN
• Bruce L. Stafford, PA
• Lynette Bruce, RN
• Martha Edie Brucker, AGPCNP - BC
• Lorna Ann Brudie, DO
• Karilyn Grayce Brudzinski, MA

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.