DR. BRENDA JO GORDON DDS
NPI 1083715486
Dentist - General Practice in Chicago, IL
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
Specialties & Licenses
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).
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.
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.
CHICAGO, IL 60604
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.