DR. BENJAMIN HOLLIS JAMES GORDON M.D. NPI 1689860850

NPI Information

  • NPI: 1689860850
  • Provider Name: DR. BENJAMIN HOLLIS JAMES GORDON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5444 S. GREEN ST.
    MURRAY, UT
    ZIP 84123
  • Phone: (801) 262-8120

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NPI Details

DR. Benjamin Hollis James Gordon, M.D. is a diagnostic radiology radiology in Murray, UT with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Benjamin Hollis James Gordon, M.D. NPI is 1689860850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

5444 S. GREEN ST.
MURRAY, UT
ZIP 84123-632
Phone: (801) 262-8120
Fax: (801) 262-3897

The NPI 1689860850 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 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of lower spine without contrast (HCPCS:72131)

The enumeration date for this NPI number is 9/20/2007 and was last updated on 6/1/2023.

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
12085R0202XRadiologyDiagnostic RadiologyMD 60033967WASHINGTONNo
22085R0202XRadiologyDiagnostic RadiologyA103290CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyM-10369IDAHONo
42085R0202XRadiologyDiagnostic Radiology5763853-1205UTAHYes

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
177798OTHERIDAHOBLUE CROSS OF IDAHO
2000010171612OTHERIDAHOREGENCE BLUE SHIELD OF IDAHO
38536039MEDICAIDWASHINGTON
4808281600MEDICAIDIDAHO

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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