MEDICARE: DR. REBECCA E GORDON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	DR.0056943	CO
2	207R00000X	Internal Medicine Physician	A96014	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	027255	OTHER	CO	KAISER COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316168834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA E GORDON M.D.

Provider Business Mailing Address
First Line	:	100 COOK ST STE 408
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5340
Country	:	US
Telephone Number	:	720-516-9424
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 COOK ST STE 408
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5340
Country	:	US
Telephone Number	:	720-516-9424
Fax Number	:	720-516-9452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	03/05/2026

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