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DR. CHRISTOPHER DAVID GORDON MD
NPI 1114472966
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since August 22, 2016

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Aug 22, 2016 (2 updates tracked since 2016).

About Dr. Christopher David Gordon Md NPPES

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

DR. CHRISTOPHER DAVID GORDON MD (NPI 1114472966) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (3017948) and active in the NPI registry since August 2016. He maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1114472966
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CHRISTOPHER DAVID GORDONCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address505 Parnassus Ave Rm M1480San Francisco, CA 94143-2204 · (830) 515-8191
Phone(866) 925-4767
Sole ProprietorNo
Enumeration DateAugust 22, 2016
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1114472966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3017948
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License A192578 (CA)
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Location 1

Location 1505 Parnassus Ave Rm M1480San Francisco, CA 94143-2204 · Phone (830) 515-8191

Other Providers at the Same Location NPPES 20

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

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Christopher Gordon's NPI number?

The NPI number for Christopher Gordon is 1114472966. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Christopher Gordon located?

Christopher Gordon practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (866) 925-4767.

What is Christopher Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Christopher Gordon was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.