Healthcare Provider Details

I. General information

NPI: 1548103781
Provider Name (Legal Business Name): JEFFREY J BERNIER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9625 BRIGHTON WAY
BEVERLY HILLS CA
90210-5109
US

IV. Provider business mailing address

1444 S BELCHER RD STE 2003
CLEARWATER FL
33764-2826
US

V. Phone/Fax

Practice location:
  • Phone: 727-739-7117
  • Fax:
Mailing address:
  • Phone: 203-560-7333
  • Fax: 844-615-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: