DR. BRENDA JO GORDON DDS
NPI 1083715486
Dentist - General Practice in Chicago, IL

Active since September 26, 2006PECOS Enrolled
141 W JACKSON BLVD, #3632, CHICAGO, IL 60604(312) 939-2400 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brenda Jo Gordon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENDA JO GORDON DDS (NPI 1083715486) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019020338) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083715486
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRENDA JO GORDONCredential: DDS
Location Address141 W JACKSON BLVD, #3632Chicago, IL 60604-2929
Mailing Address141 W Jackson Blvd, #3632Chicago, IL 60604-2929 · (312) 939-2400
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 12, 2008
NPI 1083715486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in IL · 019020338 Licensed in OH · 30018904 Licensed in CA · 32427
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
141 W JACKSON BLVD, Chicago, IL 60604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brenda Jo Gordon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
141 W JACKSON BLVD, SUITE 3632
CHICAGO, IL 60604
Chiropractor
141 W JACKSON BLVD, SUITE A20
CHICAGO, IL 60604
Dentist (General Practice)
141 W JACKSON BLVD, SUITE 2515
CHICAGO, IL 60604
Chiropractor
141 W JACKSON BLVD, SUITE A 20
CHICAGO, IL 60604
Technician/Technologist
141 W JACKSON BLVD
CHICAGO, IL 60604
Optometrist
141 W JACKSON BLVD
CHICAGO, IL 60604
Optometrist
141 W JACKSON BLVD
CHICAGO, IL 60604
Chiropractor
141 W JACKSON BLVD, SUITE A 20
CHICAGO, IL 60604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Gordon's NPI number?

The NPI number for Brenda Gordon is 1083715486. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Brenda Gordon located?

Brenda Gordon practices at 141 W Jackson Blvd #3632, Chicago, IL 60604. The listed phone number is (312) 939-2400.

What is Brenda Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brenda Gordon enrolled in Medicare?

Yes. Brenda Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Gordon was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.