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

Charlie J Gordon III

Individual provider Driver · NPI 1457561045

Charlie J Gordon III is a Driver in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 N 92nd St
Milwaukee, WI 53226-3533
Phone: (414) 479-9400
Fax: (414) 259-1663
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence G635-1107-1325-04 (WI)

Record details

NPI number1457561045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Milwaukee