Bruce R Gordon, MD
Otolaryngology in Hyannis, Massachusetts
1467446542- Practice location
- 65 Cedar St, Hyannis, MA 02601-3009
- Phone
- 508-790-0611
- Fax
- 508-790-0589
- Last updated
- December 9, 2011
Bruce Roderick Gordon is an Otolaryngology based in Hyannis, MA. Bruce Roderick Gordon practices in Hyannis, MA and has the professional credentials of MD. The NPI Number for Bruce Roderick Gordon is 1467446542 and holds a License No. 47040 (MA). The current practice location address for Bruce Roderick Gordon is 65 Cedar St, Hyannis, MA 02601-3009 and can be reached out via phone at 508-790-0611 and via fax at 508-790-0589.
Provider Profile Details
- NPI Number
- 1467446542
- Provider Name
- Bruce Roderick Gordon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 Cedar St, Hyannis, MA 02601-3009
- Phone Number
- 508-790-0611
- Fax Number
- 508-790-0589
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2005
- Last Update Date
- December 9, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Cedar St
Hyannis, MA 02601-3009 - City
- Hyannis
- State
- Massachusetts
- Zip
- 02601-3009
- Phone Number
- 508-790-0611
- Fax Number
- 508-790-0589
Provider Business Mailing Address Details
- Address
- 65 Cedar St
Hyannis, MA 02601-3009 - City
- Hyannis
- State
- MA
- Zip
- 02601-3009
- Phone Number
- 508-790-0611
- Fax Number
- 508-790-0589
License Information
- License Number (1)
- 47040
- License State (1)
- MA
- Taxonomy (1)
- Otolaryngology · 207Y00000X · Primary
- License Number (2)
- 47040
- License State (2)
- MA
- Taxonomy (2)
- Otolaryngology, Otolaryngic Allergy · 207YX0602X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bruce R Gordon, MD?
The NPI number of Bruce R Gordon, MD is 1467446542. It was assigned on September 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Bruce R Gordon, MD?
Bruce R Gordon, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in MA under license number 47040.
Where does Bruce R Gordon, MD practice?
The practice location is 65 Cedar St, Hyannis, MA 02601-3009. The office can be reached at 508-790-0611 (phone) or 508-790-0589 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467446542 directly on the NPPES registry website.