Organization Active NPI

Premier Orthopaedic Surgery and Sports Health PLLC

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1750880977
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 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
Last updated
Feb 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Authorized official

Name
Gregory D Gordon Jr., MDNPI 1427102821
Title
Owner
Phone
(210) 390-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

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 2

IdentifierTypeStateIssuer
1427102821OtherTXNPI DR GORDON
1750880977OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412002096 TX Part B Supplier - Clinic/Group Practice 9830452432 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

24165 Ih 10 W
Ste 214
San Antonio, TX 78257

24165 Ih 10 W
Ste 217456
San Antonio, TX 78257

24165 W Interstate 10
Ste 123
San Antonio, TX 78257
Phone (210) 390-0008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771718400000",
    "number": "1750880977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-390-0008",
            "fax_number": "833-972-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-390-0008",
            "fax_number": "833-972-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC SURGERY AND SPORTS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-390-0008",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR GORDON",
            "identifier": "1427102821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750880977",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; 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.