What is Bennie Gordon's NPI number?

Bennie Gordon's National Provider Identifier (NPI) is 1104097823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bennie Gordon's specialty?

Bennie Gordon is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).

Where is Bennie Gordon located?

Bennie Gordon's practice location on file with NPPES is 400 N Pepper Ave, Colton, CA 92324-1801.

What is Bennie Gordon's phone number?

The practice phone number listed in the NPPES registry for Bennie Gordon is (909) 580-1800.

Is Bennie Gordon's NPI active?

Yes — Bennie Gordon's NPI (1104097823) is active in the NPPES registry as of the last update on 2008-03-20.

IndividualActive

Bennie Gordon

NPI 1104097823 · Licensed Vocational Nurse · Colton, CA

Bennie Gordon is a Licensed Vocational Nurse provider in Colton, CA (NPI 1104097823).

Provider details

NPI number: 1104097823
Entity type: Individual
Primary specialty: Licensed Vocational NurseNursing Service Providers
Sex: Male
Sole proprietor: No
License: 176537 (CA)

Specialties & taxonomies

Licensed Vocational NursePrimary164X00000XLicense 176537 (CA)
Nursing Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

400 N Pepper Ave

Colton, CA 92324-1801

Phone: (909) 580-1800

Street-level locationGet directions

More CA providers

Mailing address