Bernard J. Gordon MD PA LLC
Organization Active NPI Community/Behavioral Health Agency · Portland, ME
NPI 1790260313 · NPPES record last updated Sep 28, 2018
Key facts
- NPI
- 1790260313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BERNARD J. GORDON MD PA LLC
- Practice address
- 145 Newbury St FL 1
Portland, ME 04101-4261 - Phone
- (207) 772-5400
- Fax
- (207) 772-5402
- NPI assigned
- Sep 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Lori Moulton
- Title
- Billing
- Phone
- (207) 504-1079
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
145 Newbury St FL 1
Portland, ME 04101-4261
Mailing address
145 Newbury St FL 1
Portland, ME 04101-4261
Phone (207) 772-5400
Other providers in Portland, ME
- Ari S Berman
- Jeffrey L Berman
- Kirsten Berman
- Kristina Wong Bermas
- Geoffrey B Bermingham
- Kindra Threlkeld Bernard
- Savannah Bernardin
- Emily Bernardo
- Mark Joshua Gatmaitan Bernardo
- Tonya L Bernier
All providers in Portland, ME · Community/Behavioral Health Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.