Gordon T. Connor,M .D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GORDON T. CONNOR,M .D., LLC

Practice address

2018 Brookwood Med Ctr Dr Ste 209
Birmingham, AL 35209-6870

Phone

(205) 877-2193

Fax

(205) 877-2196

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Kay Sullens

Title

Office Manager

Phone

(205) 877-2193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Gordon Thacker Connor, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1801804703
  Medicare reassignment NPD

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1992409395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MED CTR DR STE 209",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096870",
            "telephone_number": "205-877-2193",
            "fax_number": "205-877-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MED CTR DR STE 209",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096870",
            "telephone_number": "205-877-2193",
            "fax_number": "205-877-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON T. CONNOR,M .D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "SULLENS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-877-2193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Rena Gooley
• Robert Patten Goolsby, MD
• Rupa D Goolsby, M.D.
• Nilaa Gopikrishnan
• Gordon Eye Care at the Narrows, P.C.
• Adam Gordon, O.D.
• Ayana Y Gordon, PA
• Chynna Gordon, RBT
• David Lee Gordon, M.D.
• Donald G Gordon, MD

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.