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

Brian Keith Nordgren, PA-C

Individual provider Physician Assistant · NPI 1447361746

Brian Keith Nordgren, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2002, 24 years ago. Practices with Interventional Cardiologists of Gainesville, PA, a 36-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Michigan and North Carolina.

Years since qualifying
24
Licensed in
FL, MI, NC
In the registry since
2006
Specialties on file
3
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4645 Nw 8th Ave, Gainesville, FL 32605-4687 — (352) 375-1212
  • Medical Center Blvd, Winston Salem, NC 27157-4687 — (336) 716-6674

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102205 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06098 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 5601005453 (MI)

Record details

NPI number1447361746
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Interventional Cardiologists Of Gainesville, Pa — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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