Premier Orthopaedic Surgery and Sports Health PLLC
Organization Active NPI Orthopaedic Surgery Physician · San Antonio, TX
NPI 1750880977 · NPPES record last updated Feb 22, 2026
Key facts
- NPI
- 1750880977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- PREMIER ORTHOPAEDIC SURGERY AND SPORTS HEALTH PLLC
- Practice address
- 24165 Ih 10 W Ste 123
San Antonio, TX 78257-1160 - Phone
- (210) 390-0008
- Fax
- (833) 972-1632
- NPI assigned
- Feb 2, 2018
- Organization subpart
- No
Authorized official
- Name
- Gregory D Gordon Jr., MD
- Title
- Owner
- Phone
- (210) 390-0008
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180412002096 | TX | Part B Supplier - Clinic/Group Practice | 9830452432 |
Receives reassigned benefits from 1 practitioner Practice locations: San Antonio, TX |
National Provider Directory
Locations
24165 Ih 10 W
Ste 217456
San Antonio, TX 78257
1931 Rogers Rd
Ste 104
San Antonio, TX 78251
Phone (210) 265-1924
24165 Ih 10 W
Ste 214
San Antonio, TX 78257
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
24165 Ih 10 W Ste 123
San Antonio, TX 78257-1160
Mailing address
24165 Ih 10 W Ste 123
San Antonio, TX 78257-1160
Phone (210) 390-0008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427102821 | Other | TX | NPI DR GORDON |
| 1750880977 | Other | TX | NPI |
Other providers in San Antonio, TX
- Premier Hand & Upper Extremity Rehabilitation, P.C.
- Premier Healthcare Services Texas LLC
- Premier Interventional Pain Management, P.L.L.C
- Premier Interventional Pain Management, PLLC
- Premier OB-GYN of Texas LLC
- Premier Pain Consultants, PA
- Premier Pain Consultants, PA
- Premier Pain Consultants, PLLC
- Premier Pain Consultants, PLLC
- Premier Pain Consultants, PLLC
All providers in San Antonio, TX · Orthopaedic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.