Provider Demographics
NPI:1619857471
Name:ORGLER, GORDON K (MD)
Entity type:Individual
Prefix:
First Name:GORDON
Middle Name:K
Last Name:ORGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 683
Mailing Address - Street 2:
Mailing Address - City:REIDVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29375-0683
Mailing Address - Country:US
Mailing Address - Phone:864-433-0888
Mailing Address - Fax:
Practice Address - Street 1:1775 LIGHTWOOD KNOT RD
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-9525
Practice Address - Country:US
Practice Address - Phone:864-433-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC90732083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine