Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanne Craven Gordon, PA-C

Individual provider Physician Assistant · NPI 1265163943

Breanne Craven Gordon, PA-C is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2023, 3 years ago. Practices with Heart and Vascular Institute of Mi PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 325-1000
Fax: (248) 325-1551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011840 (MI)

Record details

NPI number1265163943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Heart And Vascular Institute Of Mi Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in West Bloomfield