Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Gordon M. Polley, M. D.

Surgery Physician in Jacksonville, FL · enumerated 2006.

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

National Provider Identifier

1265490056

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Registry record

Entity type Individual (Type 1)

Name Dr. Gordon M. Polley

Credential M. D.

Sex Male

Practice address 836 Prudential Dr, Suite 1001, Jacksonville, FL, 32207

Phone (904) 398-0033

Fax (904) 398-6774

Enumeration date May 2, 2006

Last updated in NPPES Jul 28, 2015

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License ME51872 (FL) 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
274941600	Medicaid	FL	-
1265866	Other	-	CIGNA
4664231	Other	-	AETNA
100414	Other	-	AVMED
020040220	Other	FL	RAILROAD MEDICARE
12615	Other	-	BCBS FL

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

What specialty is Gordon Polley?

Gordon Polley is registered in NPPES with the primary taxonomy of Surgery 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 2015-07-28.