Gordon Lockwood Pierpont, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Minnespolis, MN
NPI 1497779250 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497779250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 22422 (MN)
- Practice address
- 1 Veterans Dr
Minneapolis Vamc
Minnespolis, MN 55417 - Phone
- (612) 467-3670
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22422 | MN | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22422 | MN | Yes |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis Vamc
Minnespolis, MN 55417
Mailing address
462 Bayview Dr
Roseville, MN 55113-6907
Phone (651) 488-3933
Other providers in Minnespolis, MN
All providers in Minnespolis, MN · Cardiovascular Disease Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.