Active NPI
Charles R Gordon, MD, PA
- Neurological Surgery Physician
- Longview, TX
National Provider Identifier
1659789964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Pain Medicine Physician | 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 DirectoryLocations
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.
-
- Interventional Pain Medicine Physician
- Longview, TX
- NPI 1023236478
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
- Kelly Chang
- Betsy Jill Chappell, APRN
- Bryan James Chappuis, CRNA
- Charles L. Heaton , M.D. P.a. (Heaton Eye Associates)
- Charles L. Heaton, MD, PA (Heaton Eye Associates Optical Shop)
- Charles R Williams MD PA (East Texas Orthopaedic Clinic)
- Charles W Beatty Jr (Beatty Audiology and Hearing Aids)
- Oscar Jack Chastain III, MD
- Marco Antonio Chavez, MD
- Sarah Chavez, M.D.
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.