BRENT MCNAIRY GORDON MD
NPI 1669480083
Pediatrics - Pediatric Cardiology in San Diego, CA

Q: What is Brent Gordon's NPI number?

The NPI number for Brent Gordon is 1669480083. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Brent Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Brent Gordon was last updated on July 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5855 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2022, Jan 13, 2017 (2 updates tracked since 2017).

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About Brent Mcnairy Gordon Md NPPES

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

BRENT MCNAIRY GORDON MD (NPI 1669480083) is an individual pediatric cardiology provider in San Diego, California, licensed in California (A85016) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Chicago College Of Medicine And Surgery (2002).

NPPES Registry Identity

NPI1669480083

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameBRENT MCNAIRY GORDONCredential: MD

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-5855

Sole ProprietorNo

Medical School CMSChicago College Of Medicine And SurgeryGraduated 2002

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1669480083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · A85016

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License A85016 (CA)

Also ListedPediatricsTaxonomy 208000000X · License A85016 (CA)

3020 CHILDRENS WAY, San Diego, CA 92123

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Secondary Practice Location 1

Location 111234 Anderson St Rm 4433Loma Linda, CA 92354-2804 · Phone (909) 558-4711 · Fax (909) 558-0311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent Mcnairy Gordon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062456700

PECOS Enrollment IDI20050614000862

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. KAMEI TOLBA M.D.

Pediatrics

3020 CHILDRENS WAY, MC 5075
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. KATHLEEN MARY DULLY M.D.

Pediatrics

3020 CHILDRENS WAY, MC 5014
SAN DIEGO, CA 92123

San Diego County (858) 966-5980

MS. DIANE SUZANNE MASSER-FRYE MS, MSW

Genetic Counselor, MS

3020 CHILDRENS WAY, MC 5031
SAN DIEGO, CA 92123

San Diego County (858) 966-5840

DR. ANDREW J SKALSKY M.D.

Physical Medicine & Rehabilitation

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8974

DR. DANIEL WILLIAM HERSHEY MD

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. NADIA SARWAR MD

Pediatrics

3020 CHILDRENS WAY, MC 5075
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

RACHEL ANDREA CHRISTIAN LUND P.A.-C

Physician Assistant

3020 CHILDRENS WAY, MC 5075
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

REBECCA S BERNARD PH.D.

Psychologist (Clinical)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

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 Brent Gordon's NPI number?

The NPI number for Brent Gordon is 1669480083. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Brent Gordon located?

Brent Gordon practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5855.

What is Brent Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Brent Gordon enrolled in Medicare?

Yes. Brent Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brent Gordon was last updated on July 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.