BRENT MCNAIRY GORDON MD
NPI 1669480083
Pediatrics - Pediatric Cardiology in San Diego, CA
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
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Brent Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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.
Which organizations bill Medicare for Brent Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Gordon reassigns Medicare benefits to 2 organizations: Rady Children's Hospital San Diego (San Diego, CA) and Faculty Physicians And Surgeons Of Llusm (Temecula, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brent Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brent Gordon was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brent Mcnairy Gordon, MD · NPI 1669480083
Pediatric Cardiology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1669480083 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** A85016 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-5855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1891960415, Temecula, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Medicine And Surgery, class of 2002
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669480083) · Data from the CMS NPPES public registry.