DR. BRADLEY JENNINGS GORDON (M.D.) – Psychiatry Physician, NPI 1457435786

DR. BRADLEY JENNINGS GORDON (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 036-069850 (IL). The NPI Number for DR. BRADLEY JENNINGS GORDON (M.D.) is 1457435786

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY JENNINGS GORDON (M.D.)
NPI
1457435786
Phone
(847) 433-8297
Address
PO BOX 14537
Enumeration Date
24 October 2006
Last Update Date
19 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735256780
Graduation Year
1976 (50 years ago)
PAC ID
8820999493
Group Practice PAC ID
4981593399
Professional Enrollment ID
I20040116000271
Address ID
IL606133077CH850XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for DR. BRADLEY JENNINGS GORDON (M.D.)

  • PO BOX 14537

    CHICAGO, IL 606140537

    Phone: (847) 433-8297

    Fax: (847) 433-8294

    Type: Mailing

  • 850 W IRVING PARK RD STE 1

    CHICAGO, IL 606133099

    Phone: (773) 975-6775

    Fax: (847) 433-8294

    Type: Location

  • 2900 N Lake Shore Dr

    Chicago, IL 606576274

    Phone: (773) 665-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $412.

Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($315).

Total Amount

$412

General + Research + Ownership

Payments

6

Total payment records

General Amount

$412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040116000271IPsychiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6125$0
99212Established patient office or other outpatient visit, 10-19 minutes5618$0
View full utilization report →

Insurance plans in this area (ZIP 60614)

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Provider's Procedures

DR. BRADLEY JENNINGS GORDON (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIL90792Psychiatric diagnostic evaluation with medical services3332

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981593399View full group profile
NameSpecialtyState
U R O L O G YIL
Nurse PractitionerIL
Internal MedicineIL
Family PracticeIL
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Family PracticeIL
General SurgeryOH
Nurse PractitionerIL
Internal MedicineIL

Reviews

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Frequently asked questions

What is DR. BRADLEY JENNINGS GORDON (M.D.)'s NPI number?
DR. BRADLEY JENNINGS GORDON (M.D.)'s NPI is 1457435786 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. BRADLEY JENNINGS GORDON (M.D.)?
You should see DR. BRADLEY JENNINGS GORDON (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. BRADLEY JENNINGS GORDON (M.D.)'s focus?
For DR. BRADLEY JENNINGS GORDON (M.D.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRADLEY JENNINGS GORDON (M.D.) associated with Chicago?
Public fields place DR. BRADLEY JENNINGS GORDON (M.D.) around Chicago, Illinois. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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