Active NPI
Adrian Gordon, CPSS
- Peer Specialist
- Midvale, UT
National Provider Identifier
1376485870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- F25-118400
- Practice address
- 91 E Fort Union Blvd
Midvale, UT 84047-1531 - Phone
- (385) 275-6162
- NPI assigned
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | F25-118400 | UT | Primary |
Addresses
Primary practice location
91 E Fort Union Blvd
Midvale, UT 84047-1531
Mailing address
718 E Wilson Ave
Salt Lake City, UT 84105-3123
Phone (385) 465-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F25-118400 | UT | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1376485870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 E WILSON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053123",
"telephone_number": "385-465-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 E FORT UNION BLVD",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471531",
"telephone_number": "385-275-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ADRIAN",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "UT",
"license": "F25-118400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.