GORDON R. WEIGLE, MD PA
NPI 1174795900
Family Medicine - Adult Medicine in Orangeburg, SC

Q: What is Gordon R. Weigle, MD PA's NPI number?

The NPI number for Gordon R. Weigle, MD PA is 1174795900. It was assigned to this organization in the NPPES registry on April 1, 2008.

Q: What is Gordon R. Weigle, MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since April 01, 2008

1717 VILLAGE PARK DR, ORANGEBURG, SC 29118(803) 533-0091(803) 533-6084 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gordon R. Weigle, Md Pa NPPES

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

GORDON R. WEIGLE, MD PA (NPI 1174795900) is a healthcare organization registered as an adult medicine in Orangeburg, South Carolina and active in the NPI registry since April 2008. The organization lists Gordon Reese Weigle, Owner, as its authorized official.

NPPES Registry Identity

NPI1174795900

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameGORDON R. WEIGLE, MD PA

Location Address1717 VILLAGE PARK DROrangeburg, SC 29118-2475

Mailing Address1717 Village Park DrOrangeburg, SC 29118-2475 · (803) 533-0091 · Fax (803) 533-6084

Phone(803) 533-0091

Fax(803) 533-6084

Organization SubpartNo

Authorized OfficialGordon Reese WeigleOwner · (803) 533-0091

Enumeration DateApril 1, 2008

Last NPPES UpdateApril 2, 2008

✔ NPI 1174795900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in SC · SC8901

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1717 VILLAGE PARK DR, Orangeburg, SC 29118

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Other Identifiers 2

MedicaidGP3708SC

Medicare PIN7659SC

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

Other Providers at the Same Location NPPES 2

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

DR. KHADIJAH HALIMA ALLEN D.P.M.

Podiatrist (Foot & Ankle Surgery)

1717 VILLAGE PARK DR
ORANGEBURG, SC 29118

Orangeburg County (803) 937-5876

COMPREHENSIVE FOOT CARE OF ORANGEBURG

Clinic/Center (Podiatric)

1717 VILLAGE PARK DR
ORANGEBURG, SC 29118

Orangeburg County (803) 937-5876

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 Gordon R. Weigle, MD PA's NPI number?

The NPI number for Gordon R. Weigle, MD PA is 1174795900. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Gordon R. Weigle, MD PA located?

Gordon R. Weigle, MD PA is located at 1717 Village Park Dr, Orangeburg, SC 29118. The listed phone number is (803) 533-0091.

What is Gordon R. Weigle, MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Gordon R. Weigle, MD PA was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.