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

Dr. Gonzalo Javier Revuelta, DO

Individual provider Neurology Physician · NPI 1457520520

Dr. Gonzalo Javier Revuelta, DO is a Neurology in Charleston, South Carolina. Qualified in 2004, 22 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Pennsylvania and South Carolina.

Years since qualifying
22
Licensed in
GA, PA, SC
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-0100
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 1400 (SC)
Neurology Physician Taxonomy 2084N0400X · Licence OT010760 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence 060598 (GA)

Record details

NPI number1457520520
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 22, 2008
Last updated in NPPESJune 10, 2010

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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