Active NPI
Bernard Baroudi
- Hospitalist Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME153033
- Practice address
- 2343 Aaron St
Port Charlotte, FL 33952-5305 - Phone
- (855) 979-5700
- Fax
- (855) 979-5701
- NPI assigned
- Apr 19, 2018
- Last updated
- Mar 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME153033 | FL | |
| Hospitalist Physician | 208M00000X | ME153033 | FL | Primary |
Addresses
Primary practice location
2343 Aaron St
Port Charlotte, FL 33952-5305
Mailing address
2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774
Other practice location 1
1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153033 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
31075 Cortez Blvd
Brooksville, FL 34602
Phone (352) 796-5303
13691 Metro Pkwy
Ste 330
Fort Myers, FL 33912
Phone (239) 310-5307
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2675 Winkler Ave
Ste 200
Fort Myers, FL 33901
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
21297 Olean Blvd
#A
Pt Charlotte, FL 33952
Phone (855) 979-5700
2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- bernard.baroudi.1@4290.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1053808618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE STE 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019328",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2343 AARON ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525305",
"telephone_number": "855-979-5700",
"fax_number": "855-979-5701"
}
],
"practiceLocations": [
{
"address_1": "1700 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342393509",
"country_code": "US",
"telephone_number": "941-917-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAROUDI",
"first_name": "BERNARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME153033",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME153033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.