Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYON JOHN GORTON, M.D.
ActiveDR. BRYON JOHN GORTON, M.D. is a Specialist healthcare provider located in O FALLON, Illinois. NPI 1366500910 is currently active in the NPPES registry. Verify at CMS.
Specialist · O FALLON, IL
Registration Details
- NPI Number
- 1366500910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2006 (19.650140810443 yrs)
- Last Updated
- Dec 28, 2021
- License
-
036-078262 (IL)
Practice Information
- Address
-
1 SAINT ELIZABETH BLVDO FALLON, IL, 622691099Browse IL providers · Browse ZIP 62269
- Phone
- 6182342120
- Fax
- 6182224646
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DIANA MORRISON | MT | 1700105889 |
| PATRICIA LYNN BEALER | LMT | 1023389137 |
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.