DR. THAD BARRY GORDON DC NPI 1942316112

NPI Information

NPI: 1942316112
Provider Name: DR. THAD BARRY GORDON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1986 31ST AVENUE
SUITE 110
VERO BEACH, FL
ZIP 32960
Phone: (772) 567-3334
Get Directions

DR. Thad Barry Gordon, DC is a chiropractor in Vero Beach, FL. 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. DR. Thad Barry Gordon, DC NPI is 1942316112. 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:

1986 31ST AVENUE
SUITE 110
VERO BEACH, FL
ZIP 32960-627
Phone: (772) 567-3334
Fax: (772) 567-4523

The enumeration date for this NPI number is 8/21/2006 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		CH2470	FLORIDA	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 Issuer
1	89915	MEDICARE ID-TYPE UNSPECIFIED
2	89915	OTHER	BLUE CROSS BLUE SHIELD
3	4400124	OTHER	UNITED HEALTHCARE
4	T56383	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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