BRADI GORDON
NPI 1922639053
Counselor - Professional in Shelbyville, IL

Q: What is Bradi Gordon's NPI number?

The NPI number for Bradi Gordon is 1922639053. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Q: What is Bradi Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Bradi Gordon was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 28, 2020

215 W NORTH 9TH ST, SHELBYVILLE, IL 62565(765) 404-4002 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Jan 28, 2020 (2 updates tracked since 2020).

On this page

About Bradi Gordon NPPES

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

BRADI GORDON (NPI 1922639053) is an individual professional provider in Shelbyville, Illinois, licensed in Illinois (180.015047) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1922639053

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBRADI GORDON

Location Address215 W NORTH 9TH STShelbyville, IL 62565-1015

Mailing Address215 W North 9th StShelbyville, IL 62565-1015 · (765) 404-4002

Phone(765) 404-4002

Sole ProprietorYes

Enumeration DateJanuary 28, 2020

Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1922639053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in IL · 180.015047✔ Licensed in IL · 178.015680

215 W NORTH 9TH ST, Shelbyville, IL 62565

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

IN BLOOM WELLNESS PLLC

Community/Behavioral Health

215 W NORTH 9TH ST
SHELBYVILLE, IL 62565

Shelby County (765) 404-4002

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 Bradi Gordon's NPI number?

The NPI number for Bradi Gordon is 1922639053. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Bradi Gordon located?

Bradi Gordon practices at 215 W North 9th St, Shelbyville, IL 62565. The listed phone number is (765) 404-4002.

What is Bradi Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bradi Gordon was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.