BRYAN GORDON (D.C.) – Chiropractor, NPI 1093888232

BRYAN GORDON (D.C.) is a healthcare provider. based in South jordan, Utah. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2774306-1202 (UT). The NPI Number for BRYAN GORDON (D.C.) is 1093888232

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN GORDON (D.C.)
NPI
1093888232
Phone
(801) 562-1531
Address
PO BOX 95928
Enumeration Date
16 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
8015621531
Graduation Year
1998 (28 years ago)
PAC ID
4284547993
Professional Enrollment ID
I20031110000367
Address ID
UT840884213WE2618X7800301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

319 CHIROPRACTIC in UT

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Provider Addresses for BRYAN GORDON (D.C.)

  • South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States

    SOUTH JORDAN, UT 840950928

    Phone: (801) 562-1531

    Fax: (801) 562-1534

    Type: Mailing

  • 2618, West 7800 South, West Jordan, Salt Lake County, Utah, 84088, United States

    SUITE #200

    WEST JORDAN, UT 840884208

    Phone: (801) 562-1531

    Fax: (801) 562-1534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-11-10

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
I20031110000367IChiropracticUTTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions13812$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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Reviews

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Frequently asked questions

How is BRYAN GORDON (D.C.) identified in CMS data?
CMS-hosted NPPES data lists BRYAN GORDON (D.C.) with NPI 1093888232.
Does CMS list BRYAN GORDON (D.C.) as active?
Yes — BRYAN GORDON (D.C.) is active in the NPI listing used on this page.
What is BRYAN GORDON (D.C.) best known for clinically?
Directory data describes BRYAN GORDON (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What address line appears for BRYAN GORDON (D.C.)?
BRYAN GORDON (D.C.)'s geographic hint is South Jordan, Utah in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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