Organization Active NPI

Charles R Gordon, MD, PA

  • Neurological Surgery Physician
  • Longview, TX
National Provider Identifier
1659789964
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CHARLES R GORDON, MD, PA
Practice address
5016 Gilmer Rd Ste a
Longview, TX 75604-9666
Phone
(903) 653-1823
Fax
(903) 653-1822
NPI assigned
Jul 30, 2014
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles Gordon, M.D.
Title
Owner
Phone
(036) 531-8239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

5016 Gilmer Rd Ste a
Longview, TX 75604-9666

Mailing address

PO Box 6605
Tyler, TX 75711-6605
Phone (903) 363-1550

National Provider Directory

National Provider Directory

Locations

1809 W Loop 281
Ste 124
Longview, TX 75604
Phone (903) 653-1824

5016 Gilmer Rd
Longview, TX 75604
Phone (903) 553-0035

5016 Gilmer Rd
Ste A
Longview, TX 75604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1659789964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6605",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116605",
            "telephone_number": "903-363-1550",
            "fax_number": "903-595-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 GILMER RD STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756049666",
            "telephone_number": "903-653-1823",
            "fax_number": "903-653-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R GORDON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "036-531-8239",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.