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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRYAN GORDON D.C.
NPI 1093888232
Chiropractor in South Jordan, UT

Active since November 16, 2006Accepts Medicare Assignment
11194 S REDWOOD RD UNIT 103, SOUTH JORDAN, UT 84095(801) 562-1531(801) 562-1534 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bryan Gordon D.c. NPPES

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

BRYAN GORDON D.C. (NPI 1093888232) is an individual chiropractor in South Jordan, Utah, licensed in Utah (2774306-1202) and active in the NPI registry since November 2006. He is a graduate of Western States College Of Chiropractic (1998).

NPPES Registry Identity

NPI1093888232
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRYAN GORDONCredential: D.C.
Location Address11194 S REDWOOD RD UNIT 103South Jordan, UT 84095-8207
Mailing AddressPo Box 95928South Jordan, UT 84095-0928 · (801) 562-1531 · Fax (801) 562-1534
Phone(801) 562-1531
Fax(801) 562-1534
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 1998
Enumeration DateNovember 16, 2006
Last NPPES UpdateOctober 18, 2026
NPPES CertifiedOctober 18, 2026
✔ NPI 1093888232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 2774306-1202
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11194 S REDWOOD RD UNIT 103, South Jordan, UT 84095
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Other Identifiers 1

Other27743061202001UT · Regence Blue Cross Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Gordon D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284547993
PECOS Enrollment IDI20031110000367

Medicare Billing Reassignment

Medicare enrollment records show Bryan Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bryan D. Gordon P.C.
Same address
Chiropractor
11194 S REDWOOD RD UNIT 103
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Bryan D Gordon PC
NPI 1477704484 (801) 562-1531

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

BRYAN D. GORDON P.C.
Chiropractor
11194 S REDWOOD RD UNIT 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 562-1531

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 Bryan Gordon's NPI number?

The NPI number for Bryan Gordon is 1093888232. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Bryan Gordon located?

Bryan Gordon practices at 11194 S Redwood Rd Unit 103, South Jordan, UT 84095. The listed phone number is (801) 562-1531.

What is Bryan Gordon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bryan Gordon enrolled in Medicare?

Yes. Bryan Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bryan Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Gordon reassigns Medicare benefits to Bryan D. Gordon P.C. (South Jordan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Gordon accept?

Health plans from Select Health list Bryan Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Gordon was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.