Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. AUSTIN BLAKE GORDON DO
NPI 1770415465
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 29, 2026
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-7890 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Austin Blake Gordon Do NPPES

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

DR. AUSTIN BLAKE GORDON DO (NPI 1770415465) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1770415465
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AUSTIN BLAKE GORDONCredential: DO
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098
Sole ProprietorNo
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
NPI 1770415465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5501 OLD YORK RD STE 1, Philadelphia, PA 19141

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.

Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141

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 Austin Gordon's NPI number?

The NPI number for Austin Gordon is 1770415465. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Austin Gordon located?

Austin Gordon practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-7890.

What is Austin Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Austin Gordon was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.