DOUGLAS M GORDON M.D. NPI 1144397217

NPI Information

  • NPI: 1144397217
  • Provider Name: DOUGLAS M GORDON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 W COCOA BEACH CSWY
    COCOA BEACH, FL
    ZIP 32931
  • Phone: (321) 799-7111

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NPI Details

Douglas M Gordon, M.D. is a diagnostic radiology radiology in Cocoa Beach, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Douglas M Gordon, M.D. NPI is 1144397217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 W COCOA BEACH CSWY
COCOA BEACH, FL
ZIP 32931-585
Phone: (321) 799-7111
Fax: (770) 621-3181

The NPI 1144397217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan head or brain without contrast (HCPCS:70450)

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/5/2013.

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
12085B0100XRadiologyBody ImagingME64194FLORIDANo
22085N0904XRadiologyNuclear RadiologyME64194FLORIDANo
32085P0229XRadiologyPediatric RadiologyME64194FLORIDANo
42085R0204XRadiologyVascular & Interventional RadiologyME64194FLORIDANo
52085U0001XRadiologyDiagnostic UltrasoundME64194FLORIDANo
62085R0202XRadiologyDiagnostic RadiologyME64194FLORIDAYes

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
1300048844OTHERMEDICARE RR
2377261600MEDICAIDFLORIDA
323388OTHERFLORIDABCBS
4F25642MEDICARE UPIN
523388ZOTHERFLORIDAMEDICARE PTAN

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: 11/21/2025

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