Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kenneth B. Gordon, M.D.

Dermatology Physician in Wauwatosa, WI · enumerated 2006.

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

National Provider Identifier

1790865806

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Registry record

Entity type Individual (Type 1)

Name Kenneth B. Gordon

Credential M.D.

Sex Male

Practice address 10000 W Bluemound Rd, Wauwatosa, WI, 53226

Phone (414) 454-8000

Fax (414) 805-3888

Enumeration date Oct 16, 2006

Last updated in NPPES Jul 26, 2022

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 036086146 (IL) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 66663 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1790865806	Medicaid	WI	-

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.

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Frequently asked questions

What specialty is Kenneth Gordon?

Kenneth Gordon is registered in NPPES with the primary taxonomy of Dermatology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-26.