Bradley Gene Gordon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60758394 Issued in WA

Practice address

2610 E 29TH Ave
Spokane, WA 99223-4806

Phone

(509) 969-0326

NPI assigned

Jul 30, 2017

Last updated

Jul 30, 2017By the provider in NPPES

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501372800000",
    "number": "1346764560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 E 36TH AVE APT 3205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234582",
            "telephone_number": "509-969-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234806",
            "telephone_number": "509-969-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BRADLEY",
        "middle_name": "GENE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-30",
        "last_updated": "2017-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60758394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Goodwin
• Srivalli Gopaluni, M.D.
• Olivia Gordin
• Cecilia Christine Gordner
• Gordon K Mackenzie MD PS
• Desiree A Gordon, MS AGENCY AFFILIATED
• Mark Steven Gordon, MD
• Shelby Mae Gordon, PT, DPT
• Tina T Gordon, CRNA
• Debra R Gore, M.D.

• Pharmacist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2017; 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.