MR. BRIAN PHILLIP GLEN GORDON SR. (NPI# 1740509165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740509165 |
| Entity Type | Individual |
| Full Name | MR. BRIAN PHILLIP GLEN GORDON SR. |
| Practice Address |
29 Cambridge Ave 29 Cambridge Ave. Buffalo NY 14215-4001 |
| Practice Telephone | 7169319899 |
| Mailing Telephone | 7169319899 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 607953011 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871818369 | Brian Heath Gordon | Clinical Neuropsychologist | 357 Towne Center Blvd Ste 403, Ridgeland, MS 39157-4844 | 2010-03-29 |
| 1528279809 | Brian Stewart Gordon | Internal Medicine | 2310 Hallock-young Rd., Warren, OH 44482 | 2007-05-25 |
| 1336609437 | Brian Adam Jamison Gordon | Student in an Organized Health Care Education/Training Program | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-03-23 |
| 1235662180 | Brian Gordon | Student in an Organized Health Care Education/Training Program | 500 S Preston St, Rm 305, Louisville, KY 40202-1702 | 2017-04-07 |
| 1477003044 | Brian Gordon | Obstetrics & Gynecology | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-10-07 |
| 1114285020 | Brian Gordon | Counselor | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-04-27 |
| 1922279371 | Brian Gordon | Counselor | 491 Main St, Athol, MA 01331-1846 | 2008-03-13 |
| 1093857641 | Brian Eugene Gordon | Surgery | 714 Hospital Dr, Andrews, TX 79714-3617 | 2007-02-12 |
| 1750445821 | Brian Gordon | Chiropractor | 5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 | 2006-12-21 |
| 1093755043 | Brian Louis Gordon | Emergency Medicine | 600 N Highland Springs Avenue, Banning, CA 92220 | 2006-06-07 |
| Street Address |
29 CAMBRIDGE AVE 29 CAMBRIDGE AVE. |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178521 | Jesus Santana | Driver | 496 W Utica St, Buffalo, NY 14213-2321 | 2019-01-16 |
| 1225519887 | Aaron Robinson | Driver | 35 Fairfield Ave, Buffalo, NY 14214-2003 | 2018-08-22 |
| 1215423058 | Bruce Duane Dove Sr. | Driver | 41 Saint Marys Rd, Buffalo, NY 14211-2629 | 2018-07-05 |
| 1104335066 | Hussein A Waris | Driver | 155 W Delavan Ave, Buffalo, NY 14213 | 2017-09-23 |
| 1215392048 | Wodaje Yimam-knfu Sr. | Driver | 34 Houston St, Buffalo, NY 14220-1212 | 2015-12-21 |
| 1316349293 | Aime Minega Shabani | Driver | 10 7th St, Unit 621, Buffalo, NY 14201-2245 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483138 | William Howard Horton II | Driver | 14 Woodrow Rd, Batavia, NY 14020-1202 | 2020-10-08 |
| 1881204642 | Peter Odion | Driver | 313 Utica Ave, Brooklyn, NY 11213-4998 | 2020-08-06 |
| 1407479363 | Ahmed A Mohammed | Driver | 724 23rd St # 2, Watervliet, NY 12189-2036 | 2020-05-26 |
| 1184250912 | Kaseem S Moore | Driver | 25 Pond Hill Ln, Walden, NY 12586-2264 | 2020-03-12 |
| 1710511233 | Bipil Tummala | Driver | 509 N Washington St Ste 1, Rome, NY 13440-4279 | 2020-02-24 |
| 1932733581 | Griffiths Dodzi Kpogli | Driver | 112 Tudor Pl Apt 4d, Bronx, NY 10452-8566 | 2020-02-22 |
| 1306477518 | Sam Eugene Moore Jr. | Driver | 33 Du Bois Ave, Poughkeepsie, NY 12601-2140 | 2020-01-28 |
| 1942830864 | Anthony Fulmore | Driver | 36 Hart St, Brooklyn, NY 11206-6402 | 2020-01-20 |
| 1659901890 | Blake Loren Kowalski | Driver | 284 Hidden Valley Rd, Rochester, NY 14624-2356 | 2020-01-15 |
| 1285272567 | Steven Marino Ramos | Driver | 713a Southern Blvd # 3, Bronx, NY 10455-2105 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.