BRYAN GORDON D.C. NPI 1093888232

NPI Information

NPI: 1093888232
Provider Name: BRYAN GORDON, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2618 W 7800 S
SUITE #200
WEST JORDAN, UT
ZIP 84088
Phone: (801) 562-1531
Get Directions

Bryan Gordon, D.C. is a chiropractor in West Jordan, UT with 26 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Bryan Gordon, D.C. NPI is 1093888232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN STATES COLLEGE OF CHIROPRACTIC
Graduation Year:1998

The provider's business location address is:

2618 W 7800 S
SUITE #200
WEST JORDAN, UT
ZIP 84088-208
Phone: (801) 562-1531
Fax: (801) 562-1534

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2774306-1202	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U82167	MEDICARE UPIN	UTAH
2	27743061202001	OTHER	UTAH	REGENCE BLUE CROSS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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