Active NPI
Brian M Gordon, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Schenectady, NY
National Provider Identifier
1982694014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 209643
- Practice address
- 530 Liberty St
Schenectady, NY 12305-2014 - Phone
- (518) 382-7200
- Fax
- (518) 382-7205
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 209643 | NY | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 209643 | NY | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 209643 | NY | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 209643 | NY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 209643 | NY | Primary |
Addresses
Primary practice location
530 Liberty St
Schenectady, NY 12305-2014
Mailing address
530 Liberty St
Schenectady, NY 12305-2014
Phone (518) 382-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01935579 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209643 | NY | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| St. Peter'S Hospitalof the City of Albany | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| Schenectady Regional Orthopedic Associates, PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
4 Palisades Dr
Ste 200
Albany, NY 12205
Phone (518) 591-1121
1182 Troy Schenectady Rd
Ste 100
Latham, NY 12110
Phone (518) 269-4690
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- General Acute Care Hospital
- Albany, NY
- NPI 1003981432
-
- Orthopaedic Surgery Physician
- Schenectady, NY
- NPI 1447258827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982694014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 LIBERTY ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123052014",
"telephone_number": "518-382-7200",
"fax_number": "518-382-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 LIBERTY ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123052014",
"telephone_number": "518-382-7200",
"fax_number": "518-382-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "BRIAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "209643",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NY",
"license": "209643",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "209643",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NY",
"license": "209643",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "209643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01935579",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.