Active NPI
Brian Stewart Gordon, M.D.
- Internal Medicine Physician
- Warren, OH
National Provider Identifier
1528279809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-042363
- Practice address
- 2310 Hallock-Young Rd.
Warren, OH 44482 - Phone
- (330) 824-6016
- Fax
- (330) 824-6403
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-042363 | OH | Primary |
| Occupational Medicine Physician | 2083X0100X | 35-042363 | OH |
Addresses
Primary practice location
2310 Hallock-Young Rd.
Warren, OH 44482
Mailing address
38 Fairway Dr
Youngstown, OH 44505-2220
Phone (330) 759-1182
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-042363 | OH | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1528279809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 FAIRWAY DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052220",
"telephone_number": "330-759-1182",
"fax_number": "330-824-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 HALLOCK-YOUNG RD.",
"city": "WARREN",
"state": "OH",
"postal_code": "44482",
"telephone_number": "330-824-6016",
"fax_number": "330-824-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "BRIAN",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-042363",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "35-042363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.