Douglas M Gordon (NPI# 1144397217, PAC ID# 6709966559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1144397217 |
| PAC ID by PECOS | 6709966559 |
| Professional Enrollment ID | I20080105000055 |
| Full Name | Douglas M Gordon |
| Organization Legal Name | BREVARD PHYSICIAN ASSOCIATES PLLC |
| Address |
1350 Hickory St Melbourne FL 32901-3224 |
| Phone Number | 3214347000 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850535048 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| 100315 | VIERA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1223 Gateway Dr, Melbourne, FL 32901-2607 | 3217254500 | HEALTH FIRST MEDICAL GROUP, LLC |
| 1350 Hickory St, Melbourne, FL 32901-3224 | 3214347000 | BREVARD PHYSICIAN ASSOCIATES PLLC |
| Organization Legal Name | BREVARD PHYSICIAN ASSOCIATES PLLC |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario A Camps | Anesthesiology | Brevard Physician Associates Pllc | 1051 Hickory St, Suite K, Melbourne, FL 32901-1962 |
| Lynn R Temple | Certified Registered Nurse Anesthetist | Brevard Physician Associates Pllc | 1051 Hickory St K, Melbourne, FL 32901-1962 |
| Ilene Ramirez | Certified Registered Nurse Anesthetist (crna) | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Larissa Sophia Dudley | Emergency Medicine | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Eric N Feigenbaum | Anesthesiology Assistant | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Joshua Kelly | Anesthesiology Assistant | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Christopher F Vonderheide | Anesthesiology | Brevard Physician Associates Pllc | 1051 Hickory St, Suite K, Melbourne, FL 32901-1962 |
| Kenneth S Hazlett | Diagnostic Radiology | Brevard Physician Associates Pllc | 1051 Hickory St, Suite K, Melbourne, FL 32901-1962 |
| Barry T Roberts | Certified Registered Nurse Anesthetist (crna) | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Elisha A Montgomery | Emergency Medicine | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Street Address |
1350 HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilene Ramirez | Certified Registered Nurse Anesthetist (crna) | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Jharana Patel | Hospitalist | Health First Medical Group, LLC | 1350 Hickory St, Melbourne, FL 32901-3278 |
| Larissa Sophia Dudley | Emergency Medicine | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Eric N Feigenbaum | Anesthesiology Assistant | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Meredith Tinti | General Surgery | Health First Physician Specialties Inc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Joshua Kelly | Anesthesiology Assistant | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Nicholo John Sartor | Pediatric Medicine | Health First Medical Group, LLC | 1350 Hickory St, Melbourne, FL 32901-3278 |
| Barry T Roberts | Certified Registered Nurse Anesthetist (crna) | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Elisha A Montgomery | Emergency Medicine | Brevard Physician Associates Pllc | 1350 Hickory St, Melbourne, FL 32901-3224 |
| Charles H Croft | Cardiovascular Disease (cardiology) | Charles H. Croft M.d.,p.a. | 1350 Hickory St, Holmes Regional Medical Center, Melbourne, FL 32901-3113 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MELBOURNE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Douglas M Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.