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BRENDA GORDON
NPI 1396132320
Specialist - Prosthetics Case Management in Tucker, GA

Active since April 16, 2015
3983 LAVISTA RD, SUITE 164, TUCKER, GA 30084(404) 861-0807 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Gordon NPPES

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

BRENDA GORDON (NPI 1396132320) is an individual prosthetics case management provider in Tucker, Georgia, licensed in Georgia (059684695) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1396132320
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameBRENDA GORDON
Location Address3983 LAVISTA RD, SUITE 164Tucker, GA 30084-5153
Mailing Address2109 Rutherford Glen CirAtlanta, GA 30340-3878 · (404) 861-0807
Phone(404) 861-0807
Sole ProprietorYes
Enumeration DateApril 16, 2015
✔ NPI 1396132320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in GA · 059684695
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
3983 LAVISTA RD, Tucker, GA 30084
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Other Providers at the Same Location NPPES 6

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

ORTHODONTIC CARE OF GEORGIA
Dentist (Orthodontics and Dentofacial Orthopedics)
3983 LAVISTA RD, SUITE 192 THRU 196
TUCKER, GA 30084
Dekalb County (770) 939-3700
DR. YVONNE E. BECKFORD D.D.S.
Dentist (General Practice)
3983 LAVISTA RD, SUITE 181
TUCKER, GA 30084
Dekalb County (770) 939-9293
CUSTOM HAIR EXTENSIONS & HAIR LOSS CENTER
Specialist (Prosthetics Case Management)
3983 LAVISTA RD, SUITE 164
TUCKER, GA 30084
Dekalb County (678) 754-3196
DR. RICHARD PINSKY D.D.S.
Dentist (General Practice)
3983 LAVISTA RD, SUITE 104
TUCKER, GA 30084
Dekalb County (770) 723-1111
Y. E BECKFORD DDS PC
Dentist
3983 LAVISTA RD, #181
TUCKER, GA 30084
Dekalb County (770) 939-9293
EYES-RITE,INC
Technician/Technologist (Optician)
3983 LAVISTA RD, SUITE 125
TUCKER, GA 30084
Dekalb County (770) 938-9170

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 Brenda Gordon's NPI number?

The NPI number for Brenda Gordon is 1396132320. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Brenda Gordon located?

Brenda Gordon practices at 3983 Lavista Rd Suite 164, Tucker, GA 30084. The listed phone number is (404) 861-0807.

What is Brenda Gordon's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Brenda Gordon was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.