Individual
DR. GREGORY I GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
981045 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1045
(402) 559-1343
(402) 559-1340
Mailing address
981045 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1045
(402) 559-1343
(402) 559-1340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-29913
KS
2085R0202X
Diagnostic Radiology Physician
2001004974
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
21229
NE
2085R0204X
Vascular & Interventional Radiology Physician
36092986
IL
2085R0204X
Vascular & Interventional Radiology Physician
MD-42327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092986
—
IL
01
—
098605120
MEDICARE ID - TYPE UNSPECIFIED
NE
05
—
470785575
—
NE
Enumeration date
03/08/2006
Last updated
09/23/2025
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