Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R Gordon, MD

Individual provider Neurological Surgery Physician · NPI 1164535142

Charles R Gordon, MD is a Neurosurgery in Tyler, Texas. Graduated from Baylor College of Medicine in 1987, 39 years ago. Practices with Charles R Gordon MD PA, a 25-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
39
Trained at
Baylor College of Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2737 S Broadway Ave
Tyler, TX 75701-5413
Phone: (903) 592-6000
Fax: (903) 592-3224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence H5238 (TX)

Record details

NPI number1164535142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESJanuary 30, 2019
Mailing addressPo Box 6605, Tyler, TX 75711-6605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Charles R Gordon Md Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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