Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Lucius Nmn Gordon Jr., PA-C

Physician Assistant in Roy, UT · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396814778

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Registry record

Entity type Individual (Type 1)

Name Mr. Lucius Nmn Gordon Jr.

Credential PA-C

Sex Male

Practice address 5640 S 3500 W, Roy, UT, 84067

Phone (801) 773-2838

Fax (801) 773-3025

Enumeration date Nov 7, 2006

Last updated in NPPES Mar 17, 2018

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10495233-1206 (UT) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Lucius Gordon's NPI record?

Cross-check NPI 1396814778 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1396814778 active?

Yes, as of the latest NPPES snapshot, NPI 1396814778 is active (record last updated 2018-03-17).

Other providers at this practice address

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Jeffery Anderson Medical Physician Assistant · Roy, UT NPI 1255398921 Shiloh Manning Family Nurse Practitioner · Roy, UT NPI 1972536001 Darlene Petersen Family Medicine Physician · Roy, UT NPI 1376744433 Gary Brundage Clinical Social Worker · Roy, UT NPI 1861707036 Micheal Dawson Physician Assistant · Roy, UT NPI 1376853036 Jerrica Stoddard Family Nurse Practitioner · Roy, UT NPI 1144584228 Brinton Woods Family Medicine Physician · Roy, UT NPI 1336574755 Joni Jones Family Nurse Practitioner · Roy, UT NPI 1699261081

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.