MEDICARE: DR. JODY S BERNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME64901	FL

General Provider Information

NPI Number	:	1245280395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODY S BERNER MD

Provider Business Mailing Address
First Line	:	1305 S FORT HARRISON AVE
Second Line	:	SUITE E
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3301
Country	:	US
Telephone Number	:	727-631-0915
Fax Number	:	727-631-0916

Provider Business Practice Location Address
First Line	:	1305 S FORT HARRISON AVE
Second Line	:	SUITE E
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3301
Country	:	US
Telephone Number	:	727-631-0915
Fax Number	:	727-631-0916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	10/08/2025

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