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

Charles S Gordon, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1679516124

Charles S Gordon, MD is a Diagnostic Radiology in Venice, Florida. Graduated from University of Louisville School of Medicine in 1993, 33 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Trained at
University of Louisville School of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
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

512 Nokomis Ave S
Venice, FL 34285-2817
Phone: (941) 488-7781
Fax: (941) 484-9235
Show map & directions

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

Additional practice locations (2)

  • 4724 N Davis Hwy Ste 100, Pensacola, FL 32503-2339 — (850) 201-2421
  • 161 E Nine Mile Rd Ste 100, Pensacola, FL 32534-3140 — (850) 201-2422

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence ME0068812 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME0068812 (FL)

Record details

NPI number1679516124
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing addressPo Box 1508, Venice, FL 34284-1508

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare