Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Charles R Gordon MD PA

Q: What type of organization is Charles R Gordon MD PA?

Charles R Gordon MD PA is registered in NPPES as a Neurological Surgery Physician (its primary provider taxonomy).

Neurological Surgery Physician in Tyler, TX · enumerated 2006 · authorized official Charles Gordon, President.

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

National Provider Identifier

1982717955

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Registry record

Entity type Organization (Type 2)

Legal business name Charles R Gordon MD PA

Other name <Unavail>

Practice address 2737 S Broadway Ave Ste 200, Tyler, TX, 75701

Phone (903) 592-6000

Fax (903) 595-1592

Enumeration date Aug 16, 2006

Last updated in NPPES Mar 10, 2020

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Primary

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary

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

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Charles Gordon

Title President

Phone (903) 592-6000

Other identifiers

Identifier	Type	State	Issuer
163108701	Medicaid	TX	-
0023KV	Other	-	BLUE CROSS BLUE SHIELD

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 type of organization is Charles R Gordon MD PA?

Charles R Gordon MD PA is registered in NPPES as a Neurological Surgery Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-10.