Brian T Gordon, MD | |
1 Audubon Plaza Dr, Louisville, KY 40217-1318 | |
(502) 447-8786 | |
(502) 447-8623 |
Full Name | Brian T Gordon |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1 Audubon Plaza Dr, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235662180 | NPI | - | NPPES |
300079422 | Medicaid | IN | |
7100910100 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 58291 (Kentucky) | Primary |
Entity Name | Diagnostic X-ray Physicians, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619954138 PECOS PAC ID: 1355239534 Enrollment ID: O20040309000656 |
Entity Name | University Of Louisville Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Mailing Address | Practice Location Address |
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Brian T Gordon, MD 500 S Preston St, Rm 305, Louisville, KY 40202-1702 Ph: () - | Brian T Gordon, MD 1 Audubon Plaza Dr, Louisville, KY 40217-1318 Ph: (502) 447-8786 |
Dr. Sohail Contractor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Mark S Cornett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Louisville, KY 40202 Phone: 502-629-2500 Fax: 502-629-3165 | |
Dr. Christopher Blair Cornell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr # 276, Louisville, KY 40217 Phone: 502-447-8786 Fax: 502-447-8623 | |
Dr. Andrew John Collins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St # C07, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Cynthia H Hart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4231 Fax: 502-583-2733 | |
Dr. Shannon Ogden Steed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln # 276, Louisville, KY 40207 Phone: 502-447-8786 Fax: 502-447-8623 | |
Theodore Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 502-629-7601 |