Kenneth A. Berdick, M.D., P.A.
NPI 1508125170 · Internal Medicine Physician · Fort Myers, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth A. Berdick, M.D., P.A. is a Internal Medicine Physician organization in Fort Myers, FL (NPI 1508125170).
Provider details
- NPI number
- 1508125170
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Berdick, President(239) 334-4157
- License
- NP1971252 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-16
- Last updated
- 2012-09-24
Frequently asked questions
- What is Kenneth A. Berdick, M.D., P.A.'s NPI number?
- Kenneth A. Berdick, M.D., P.A.'s National Provider Identifier (NPI) is 1508125170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth A. Berdick, M.D., P.A.?
- Kenneth A. Berdick, M.D., P.A. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth A. Berdick, M.D., P.A. located?
- Kenneth A. Berdick, M.D., P.A.'s practice location on file with NPPES is 3714 Evans Ave, Fort Myers, FL 33901-9303.
- What is Kenneth A. Berdick, M.D., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Kenneth A. Berdick, M.D., P.A. is (239) 334-4157.
- Does Kenneth A. Berdick, M.D., P.A. accept Medicare?
- Kenneth A. Berdick, M.D., P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth A. Berdick, M.D., P.A.?
- The authorized official listed on Kenneth A. Berdick, M.D., P.A.'s NPPES record is Kenneth Berdick, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth A. Berdick, M.D., P.A.'s NPI active?
- Yes — Kenneth A. Berdick, M.D., P.A.'s NPI (1508125170) is active in the NPPES registry as of the last update on 2012-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.