Dr Bruce R Gordon, PHD - Psychologist in Santa Monica, CA

Dr Bruce R Gordon, PHD is a Psychologist based in Santa Monica, California. Dr Bruce R Gordon is licensed to practice in California (license number PSY.757) and his current practice location is 270-26th St., Suite 202, Santa Monica, California. He can be reached at his office (for appointments etc.) via phone at (310) 457-4442.

NPI number for Dr Bruce R Gordon is 1083905707 and his current mailing address is 270-26th Street, Suite 202, Santa Monica, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083905707.

Contact Information

Dr Bruce R Gordon, PHD
270-26th St., Suite 202,
Santa Monica, CA 90402
(310) 457-4442
(310) 451-5674



Healthcare Provider's Profile

Full NameDr Bruce R Gordon
GenderMale
SpecialityPsychologist
Location270-26th St., Santa Monica, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083905707
  • Provider Enumeration Date: 04/28/2011
  • Last Update Date: 05/03/2011

Medical Identifiers

Medical identifiers for Dr Bruce R Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083905707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY.757 (California)Primary
103TC0700XPsychologist - Clinical PSY.757 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce R Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bruce R Gordon, PHD
270-26th Street, Suite 202,
Santa Monica, CA 90402

Ph: (310) 451-4442
Dr Bruce R Gordon, PHD
270-26th St., Suite 202,
Santa Monica, CA 90402

Ph: (310) 457-4442

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› Verified 5 days ago


Psychologist in Santa Monica, CA

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