DR. I BRUCE GORDON MD NPI 1174721526

NPI Information

  • NPI: 1174721526
  • Provider Name: DR. I BRUCE GORDON, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 120 W 57TH ST
    904
    NEW YORK, NY
    ZIP 10019
  • Phone: (212) 632-4520

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NPI Details

DR. I Bruce Gordon, MD is a pediatrics in New York, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. I Bruce Gordon, MD NPI is 1174721526. 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:

120 W 57TH ST
904
NEW YORK, NY
ZIP 10019-320
Phone: (212) 632-4520
Fax: (212) 307-7896

The enumeration date for this NPI number is 7/6/2007 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
1208000000XPediatrics094231NEW YORKYes

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: 3/30/2025

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