| Roddy Janiel Bernard, MD | |
|
61 Dolphin Dr, Treasure Island, FL 33706-3113 | |
| (727) 853-1701 | |
| (727) 825-1354 |
| Full Name | Roddy Janiel Bernard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 61 Dolphin Dr, Treasure Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184184285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD480505 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | ME166273 (Florida) | Primary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Roddy Janiel Bernard, MD 3251 N Mcmullen Booth Rd Ste 303, Clearwater, FL 33761-2022 Ph: (727) 725-6110 | Roddy Janiel Bernard, MD 61 Dolphin Dr, Treasure Island, FL 33706-3113 Ph: (727) 853-1701 |
Dr. David Scott Borislow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11719 1st St E, Treasure Island, FL 33706 Phone: 727-492-2930 | |
Dr. Peter Michael Pardoll, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 34 Paradise Ln, Treasure Island, FL 33706 Phone: 727-422-5464 Fax: 727-360-5352 | |
Jordan Fuller, D.O. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 61 Dolphin Dr, Treasure Island, FL 33706 Phone: 727-853-1701 | |
Chris Carson, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 61 Dolphin Dr, Treasure Island, FL 33706 Phone: 727-954-0671 Fax: 727-825-1354 |