- Practice location
- 145 Newbury St Fl 1, Portland, ME 04101-4261
- Phone
- 207-772-5400
- Fax
- 207-772-5402
- Last updated
- September 28, 2018
Bernard J. Gordon MD PA LLC is a healthcare organization based in Portland, ME. Bernard J. Gordon MD PA LLC practices in Portland, ME. The NPI Number for Bernard J. Gordon MD PA LLC is 1790260313. The current practice location address for Bernard J. Gordon MD PA LLC is 145 Newbury St Fl 1, Portland, ME 04101-4261 and can be reached out via phone at 207-772-5400 and via fax at 207-772-5402.
Provider Profile Details
- NPI Number
- 1790260313
- Provider Name
- Bernard J. Gordon MD PA LLC
- Provider Entity Type
- Organization
- Address
- 145 Newbury St Fl 1, Portland, ME 04101-4261
- Phone Number
- 207-772-5400
- Fax Number
- 207-772-5402
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Lori Moulton · Billing · 207-504-1079
- Provider Enumeration Date
- September 28, 2018
- Last Update Date
- September 28, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 145 Newbury St Fl 1
Portland, ME 04101-4261 - City
- Portland
- State
- Maine
- Zip
- 04101-4261
- Phone Number
- 207-772-5400
- Fax Number
- 207-772-5402
Provider Business Mailing Address Details
- Address
- 145 Newbury St Fl 1
Portland, ME 04101-4261 - City
- Portland
- State
- ME
- Zip
- 04101-4261
- Phone Number
- 207-772-5400
- Fax Number
- 207-772-5402
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
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 Bernard J. Gordon MD PA LLC?
The NPI number of Bernard J. Gordon MD PA LLC is 1790260313. It was assigned on September 28, 2018 and is currently active in the NPPES registry.
What is the specialty of Bernard J. Gordon MD PA LLC?
Bernard J. Gordon MD PA LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Bernard J. Gordon MD PA LLC practice?
The practice location is 145 Newbury St Fl 1, Portland, ME 04101-4261. The office can be reached at 207-772-5400 (phone) or 207-772-5402 (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 1790260313 directly on the NPPES registry website.