Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYCE JAY ALLEN GORDON, ATC, MA, CES
ActiveMR. BRYCE JAY ALLEN GORDON, ATC, MA, CES is a Athletic Trainer healthcare provider located in LAKE FOREST, California. NPI 1285289611 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE FOREST, CA
Registration Details
- NPI Number
- 1285289611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2019 (7.0384975818659 yrs)
- Last Updated
- Aug 26, 2021
Practice Information
- Address
-
26242 DIMENSION DR STE 150LAKE FOREST, CA, 926307811Browse CA providers · Browse ZIP 92630
- Phone
- 8313328838
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LAKE FOREST, CA
| Name | Credential | NPI |
|---|---|---|
| MR. TREVOR ADAM WINTON | ATC | 1497782429 |
| MISS AYA FELLING | M.A, A.T.C., C.S.C.S | 1568693463 |
| CALLIE ANN HARPER | — | 1659861623 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.