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DR. BRUCE DAVID GORDON MD
NPI 1356354658
Emergency Medicine in Wisconsin Rapids, WI

Active since August 15, 2006
410 DEWEY ST, WISCONSIN RAPIDS, WI 54495(715) 423-6060(715) 421-7517 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce David Gordon Md NPPES

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

DR. BRUCE DAVID GORDON MD (NPI 1356354658) is an individual emergency medicine provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (19987020) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356354658
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRUCE DAVID GORDONCredential: MD
Location Address410 DEWEY STWisconsin Rapids, WI 54495-8070
Mailing AddressPo Box 8080Wisconsin Rapids, WI 54495-8080 · (715) 423-6060 · Fax (715) 421-7517
Phone(715) 423-6060
Fax(715) 421-7517
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356354658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 19987020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
410 DEWEY ST, Wisconsin Rapids, WI 54495
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Other Providers at the Same Location NPPES 10

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

JEANNEN M. GULENCHYN LAT
Specialist/Technologist (Athletic Trainer)
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 421-5257
MICHAEL C. GULENCHYN LAT
Specialist/Technologist (Athletic Trainer)
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 421-5257
MS. JESSICA LYNN CAHILL PA
Physician Assistant
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 423-6060
MATTHEW D. IRONSIDE MPT
Physical Therapist
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 424-8500
DR. JOHN W MCDONOUGH II DO
Orthopaedic Surgery
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 421-5257
AMY J. JAEGER DPM
Podiatrist
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 421-5257
DR. JOHN CHARLES WHITMAN MD
Emergency Medicine
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 423-6060
RICHARD L. HENKE LAT
Specialist/Technologist (Athletic Trainer)
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495
Wood County (715) 421-5257

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 Bruce Gordon's NPI number?

The NPI number for Bruce Gordon is 1356354658. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Bruce Gordon located?

Bruce Gordon practices at 410 Dewey St, Wisconsin Rapids, WI 54495. The listed phone number is (715) 423-6060.

What is Bruce Gordon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Bruce Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.