Thad Barry Gordon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2470 Issued in FL

Practice address

1986 31St Avenue
Suite 110
Vero Beach, FL 32960-6627

Phone

(772) 567-3334

Fax

(772) 567-4523

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barry Gordon D.C., P.a.

  • Chiropractor
  • Vero Beach, FL
  • NPI 1154625978
  Authorized official Same address or phone
• PD Gordon Inc

  • Chiropractor
  • Vero Beach, FL
  • NPI 1336442821
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942316112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1986 31ST AVENUE",
            "address_2": "SUITE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606627",
            "telephone_number": "772-567-3334",
            "fax_number": "772-567-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 31ST AVENUE",
            "address_2": "SUITE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606627",
            "telephone_number": "772-567-3334",
            "fax_number": "772-567-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "THAD",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pablo Gonzalez, LMHC
• Saily Gonzalez
• Good Mood Psychology Inc.
• Rindy Good
• Patricia Dawn Gordon, DC
• Randee Louise Gore, PHARMD
• Victor Goulenko
• Roger Grabach, RPH
• Emily Grady
• Mark Graham

• Chiropractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.