Active NPI
Gordon Vincent Brion, M.D.
- Psychiatry Physician
- Riverside, CA
National Provider Identifier
1588901219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G-75466
- Practice address
- 3900 Sherman Way
Attn: MVT Program
Riverside, CA 90253 - Phone
- (323) 823-3320
- NPI assigned
- Jan 15, 2013
- Last updated
- Jan 15, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G-75466 | CA | Primary |
Addresses
Primary practice location
3900 Sherman Way
Attn: MVT Program
Riverside, CA 90253
Mailing address
PO Box 4779
Palm Springs, CA 92263
Phone (323) 823-3320
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 |
|---|---|---|---|
| G-75466 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1588901219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4779",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92263",
"telephone_number": "323-823-3320",
"fax_number": "760-699-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 SHERMAN WAY",
"address_2": "ATTN: MVT PROGRAM",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "90253",
"telephone_number": "323-823-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRION",
"first_name": "GORDON",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G-75466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.