Bruce Lewis Gordon MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRUCE LEWIS GORDON MD PC

Practice address

1 Byram Brook PL
Armonk, NY 10504-2316

Phone

(914) 820-0000

NPI assigned

Feb 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce GordonNPI 1760424758

Title

MD/Owner

Phone

(914) 820-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Lewis Gordon, M.D.

  • Ophthalmology Physician
  • Armonk, NY
  • NPI 1760424758

  NY, Ophthalmology

  Medicare reassignment NPD Authorized official
• James Russell Gordon, M.D.

  • Ophthalmology Physician
  • Armonk, NY
  • NPI 1497797641

  NY, Ophthalmology

  Medicare reassignment NPD
• Yu Xie

  • Student in an Organized Health Care Education/Training Program
  • Armonk, NY
  • NPI 1033038591
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1619620457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BYRAM BROOK PL",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042316",
            "telephone_number": "914-820-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BYRAM BROOK PL",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042316",
            "telephone_number": "914-820-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE LEWIS GORDON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "914-820-0000"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Berliner, PT
• Stewart Ross Berliner, MD
• Daniel John Brennan, DPT
• Brian J. Dombal DPT PC
• Kristen F Briody, MS PT
• Jacqueline Pisani Burke, OTR/L
• Byram Hills Central School District
• James H. Cassell IV, PT, DPT
• Deborah Cassidy-Charron, PH.D.
• Gregory Cavaliere, PT, DPT

• All providers in Armonk, NY
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.