Individual provider Active NPI

Roddy Janiel Bernard, MD

  • Internal Medicine Physician
  • Treasure Island, FL
National Provider Identifier
1184184285
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166273 Issued in FL
Practice address
61 Dolphin Dr
Treasure Island, FL 33706-3113
Phone
(727) 853-1701
Fax
(727) 825-1354
NPI assigned
Mar 23, 2019
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD480505 PA
Internal Medicine Physician 207R00000X ME166273 FL Primary

Addresses

Primary practice location

61 Dolphin Dr
Treasure Island, FL 33706-3113

Mailing address

3251 N McMullen Booth Rd Ste 303
Clearwater, FL 33761-2022
Phone (727) 725-6110

Other practice location 1

3520 38th Ave N
St Petersburg, FL 33713-1448
Phone (727) 471-5039

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903004352 FL Practitioner - Internal Medicine 1658600762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Florida State University College of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Bayside Medical Group LLCGroup PAC ID 9931325990, 8 clinicians

Practice addresses (Care Compare)

701 6TH St S
Saint Petersburg, FL 33701-4814
Phone (727) 823-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman & Hampsey Medical Clinic, Inc CurrentSince Sep 23, 2024 Accepting new patients
Bayside Medical Group LLC Hospitalist CurrentSince May 1, 2025 Accepting new patients
Bowman & Hampsey Mdspa Internal Medicine PastSince Sep 1, 2024 Accepting new patients

Locations

3251 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-6110

3251 N McMullen Booth Rd
Ste 303
Clearwater, FL 33761
Phone (727) 725-6110

3520 38th Ave N
St Petersburg, FL 33713
Phone (727) 471-5039

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1184184285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 303",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-725-6110",
            "fax_number": "727-669-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DOLPHIN DR",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063113",
            "telephone_number": "727-853-1701",
            "fax_number": "727-825-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337131448",
            "country_code": "US",
            "telephone_number": "727-471-5039",
            "fax_number": "727-471-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "RODDY",
        "middle_name": "JANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD480505",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Treasure Island, FL

Sources for this page

Verify at the official NPI Registry.