Charles R Gordon MD PA
NPI 1982717955ActiveOrganization· Neurological Surgery· Tyler, TX
Neurological Surgery in Tyler, Texas, registered in NPPES in August 2006. The authorized official on file is Charles R. Gordon, M.D., President. Enrolled in Medicare as dme supplier - physician - neurosurgery and part b supplier - clinic/group practice.
Overview
| NPI | 1982717955 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2006 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Neurosurgery (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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