Gorden, Todd Bradley

Gorden, Todd Bradley is an individual health care provider with primary practice located at 1618 Canyon Creek Dr Suite 120, Temple TX 76502-3275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gorden, Todd Bradley can be contacted via phone (254) 791-2020.

Contact Information

Primary practice address
1618 Canyon Creek Dr Suite 120 Temple TX 76502-3275
Phone: (254) 791-2020
Fax: (254) 791-2025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F1594 Texas

Profile Details

NPI number 1194798074
LBN Legal business name Gorden, Todd Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194798074 NPPES
Texas MEDICAID 102603103
Texas Other 8B0830

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