MR. BRYCE JAY ALLEN GORDON ATC, MA, CES
NPI 1285289611
Specialist/Technologist - Athletic Trainer in Lake Forest, CA

NPI Status: Active since August 02, 2019

Contact Information

26242 DIMENSION DR STE 150
LAKE FOREST, CA
ZIP 92630
Phone: (831) 332-8838

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About BRYCE GORDON

This page provides the complete NPI Profile along with additional information for Bryce Gordon, a provider established in Lake Forest, California with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1285289611 assigned on August 2019. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1285289611
Provider Name
MR. BRYCE JAY ALLEN GORDON ATC, MA, CES
Gender
Male
Entity Type
Individual
Location Address
26242 DIMENSION DR STE 150 LAKE FOREST, CA 92630
Location Phone
(831) 332-8838
Mailing Address
22 AMATO MISSION VIEJO, CA 92692
Mailing Phone
(831) 332-8838
Is Sole Proprietor?
No
Enumeration Date
08-02-2019
Last Update Date
08-26-2021
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Location Map

Secondary Locations

  • 701 E Foothill Blvd
    Azusa, CA 91702
    (626) 969-3434

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285289611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165481862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 8 + 1 + 8 + 6 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1285289611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285289611, enumerated as an "individual" on August 02, 2019.

The provider is located at 26242 DIMENSION DR STE 150 LAKE FOREST, CA 92630 and the phone number is (831) 332-8838.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.