Kenneth A. Berdick, M.D., P.A.
LBN: Kenneth A. Berdick, M.D., P.A.
Kenneth A. Berdick, M.D., P.A. is an health care organization with primary practice located at 3714 Evans Ave , Fort Myers FL 33901-9303. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Kenneth A. Berdick, M.D., P.A. can be contacted via phone (239) 334-4157, or through Berdick, Kenneth A via phone (239) 334-4157.
Contact Information
Primary practice address
3714 Evans Ave
Fort Myers FL 33901-9303
Phone: (239) 334-4157
Fax: (239) 334-1904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0017772 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NP1971252 | Florida |
Profile Details
| NPI number | 1508125170 |
|---|---|
| LBN Legal business name | Kenneth A. Berdick, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Berdick, Kenneth A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2012 |
| Last updated | Sep 24th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508125170 | NPPES |
| Florida | Other | 91309 | MEDICARE PTAN |
| Florida | MEDICAID | 066122800 | MEDICARE PTAN |
Popular Providers
-
Family Medical Clinic
4801 Palm Beach Blvd , Fort Myers FL 33905-3214 -
Colonia Medical Specialty Group
4531 Deleon St Ste 207 , Fort Myers FL 33907-1280 -
Replete Tx Treatment Center Llc
6700 Winkler Rd Suite 1, Fort Myers FL 33919-7233 -
Hni Medical Services
8971 Daniels Center Dr Suite 307, Fort Myers FL 33912-0310 -
Medical Services Of Sw Fl Llc
6311 S Pointe Blvd Ste 300 , Fort Myers FL 33919-4901 -
Physicians Primary Care Of Southwest Florida Pl
12730 New Brittany Blvd Ste 200 , Fort Myers FL 33907-3646 -
Barry K Butler P.A.
10708 Bradbury Way , Fort Myers FL 33913 -
Axel Health Llc
4755 Summerlin Rd Ste 8 , Fort Myers FL 33919-1073