Bret S Gordon, D.O.
Obstetrics & Gynecology in Overland Park, KS. Individual provider (NPI-1).
NPI number1972507366
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1972507366
- Entity type
- Individual (NPI-1)
- Name
- Bret S Gordon
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2005
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0530651 | KS | Yes |
| 207V00000X | Obstetrics & Gynecology | 2001015997 | MO |
Practice location
12330 Metcalf AveSte 420
Overland Park, KS 66213-1324
Phone 913-323-9000 · Fax 913-323-9001
Mailing address
901 E 104th StMailstop 400n
Kansas City, MO 64131-4517
Phone 816-502-7104 · Fax 816-932-9670
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