MR. TREVOR ADRIAN DANIEL GORMAN PA-C NPI 1306175997

NPI Information

NPI: 1306175997
Provider Name: MR. TREVOR ADRIAN DANIEL GORMAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1 MEDICAL PARK BLVD STE 400E
BRISTOL, TN
ZIP 37620
Phone: (423) 844-5400
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MR. Trevor Adrian Daniel Gorman, PA-C is a surgical physician assistant in Bristol, TN. MR. Trevor Adrian Daniel Gorman, PA-C NPI is 1306175997. 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:

1 MEDICAL PARK BLVD STE 400E
BRISTOL, TN
ZIP 37620-431
Phone: (423) 844-5400

The NPI 1306175997 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 3/12/2024.

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	363A00000X	Physician Assistant		5712	TENNESSEE	No
2	363AM0700X	Physician Assistant	Medical	5712	TENNESSEE	No
3	363AS0400X	Physician Assistant	Surgical	5712	TENNESSEE	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	5712	OTHER	TENNESSEE	STATE LICENSE

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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