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

Dr. Theodore G Gourdin, MD

Individual provider Specialist · NPI 1821094301

Dr. Theodore G Gourdin, MD is a Gastroenterology in Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1985, 41 years ago. Practices with Charleston Gastroenterology Specialists, a 49-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
41
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone: (843) 722-8000
Fax: (843) 647-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 13033 (SC)
Specialist Taxonomy 174400000X · Licence 13033 (SC)

Record details

NPI number1821094301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Charleston Gastroenterology Specialists — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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