Charles R Gordon MD PA
NPI 1982717955 · Neurological Surgery Physician · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles R Gordon MD PA is a Neurological Surgery Physician organization in Tyler, TX (NPI 1982717955).
Provider details
- NPI number
- 1982717955
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Gordon, President(903) 592-6000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Precision Spine Care
- Doing business as
- Precision Spine Care
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Charles R Gordon MD PA's NPI number?
- Charles R Gordon MD PA's National Provider Identifier (NPI) is 1982717955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles R Gordon MD PA?
- Charles R Gordon MD PA is classified in the NPPES registry as Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Charles R Gordon MD PA located?
- Charles R Gordon MD PA's practice location on file with NPPES is 2737 S Broadway Ave Ste 200, Tyler, TX 75701-5445.
- What is Charles R Gordon MD PA's phone number?
- The practice phone number listed in the NPPES registry for Charles R Gordon MD PA is (903) 592-6000.
- Does Charles R Gordon MD PA accept Medicare?
- Charles R Gordon MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Charles R Gordon MD PA?
- The authorized official listed on Charles R Gordon MD PA's NPPES record is Charles Gordon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles R Gordon MD PA's NPI active?
- Yes — Charles R Gordon MD PA's NPI (1982717955) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.