DOUGLAS M GORDON M.D.
NPI 1144397217
Radiology - Diagnostic Radiology in Cocoa Beach, FL

Q: What is Douglas Gordon's NPI number?

The NPI number for Douglas Gordon is 1144397217. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Douglas Gordon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Gordon was last updated on August 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2006

701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931(321) 799-7111(770) 621-3181 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Douglas M Gordon M.d. NPPES

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

DOUGLAS M GORDON M.D. (NPI 1144397217) is an individual diagnostic radiology provider in Cocoa Beach, Florida, licensed in Florida (ME64194) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1144397217

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDOUGLAS M GORDONCredential: M.D.

Location Address701 W COCOA BEACH CSWYCocoa Beach, FL 32931-3585

Mailing AddressPo Box 2400Melbourne, FL 32902-2400 · (866) 744-1461 · Fax (770) 621-3181

Phone(321) 799-7111

Fax(770) 621-3181

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateAugust 5, 2013

✔ NPI 1144397217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in FL · ME64194

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License ME64194 (FL)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License ME64194 (FL)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License ME64194 (FL)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License ME64194 (FL)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License ME64194 (FL)

701 W COCOA BEACH CSWY, Cocoa Beach, FL 32931

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Other Identifiers 5

Other300048844Medicare Rr

Medicaid377261600FL

Other23388FL · Bcbs

Medicare UPINF25642

Other23388ZFL · Medicare Ptan

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.

DR. BRIAN ROBERT BOGGS MD

Emergency Medicine

701 W COCOA BEACH CSWY, CAPE CANAVERAL HOSPITAL EMERGENCY ROOM
COCOA BEACH, FL 32931

Brevard County (321) 799-7150

BRANDON TAIVAL DO

Emergency Medicine