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KYLE P GORDLEY MD
NPI 1083885891
Surgery - Plastic and Reconstructive Surgery in Shenandoah, TX

Active since March 19, 2008
129 VISION PARK BLVD STE 210, SHENANDOAH, TX 77384(832) 813-5839(832) 813-8512 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2020, Feb 14, 2019 (2 updates tracked since 2019).

About Kyle P Gordley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE P GORDLEY MD (NPI 1083885891) is a healthcare organization registered as a plastic and reconstructive surgery in Shenandoah, Texas and active in the NPI registry since March 2008. The organization lists Kyle Patrick Gordley, M.d./owner, as its authorized official.

NPPES Registry Identity

NPI1083885891
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameGORDLEY PLASTIC SURGERY PA
Location Address129 VISION PARK BLVD STE 210Shenandoah, TX 77384-3024
Mailing Address129 Vision Park Blvd Ste 210Shenandoah, TX 77384-3024 · (832) 813-5839 · Fax (832) 813-8512
Phone(832) 813-5839
Fax(832) 813-8512
Organization SubpartNo
Authorized OfficialKyle Patrick GordleyM.d./owner · (832) 813-5839
Enumeration DateMarch 19, 2008
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1083885891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · M7222
Definition
A surgeon who specializes in plastic and reconstructive surgery.
129 VISION PARK BLVD STE 210, Shenandoah, TX 77384
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Other Names 1

Other NameKyle P Gordley Md

Other Identifiers 2

Medicaid336661901TX
OtherDP0233TX · Rr Mc Pin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KYLE PATRICK GORDLEY M.D.
Surgery (Plastic and Reconstructive Surgery)
129 VISION PARK BLVD STE 210
SHENANDOAH, TX 77384
Montgomery County (832) 813-5839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordley Plastic Surgery PA's NPI number?

The NPI number for Gordley Plastic Surgery PA is 1083885891. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is also known as Kyle P Gordley MD.

Where is Gordley Plastic Surgery PA located?

Gordley Plastic Surgery PA is located at 129 Vision Park Blvd Ste 210, Shenandoah, TX 77384. The listed phone number is (832) 813-5839.

What is Gordley Plastic Surgery PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Gordley Plastic Surgery PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Gordley Plastic Surgery PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordley Plastic Surgery PA was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.