Active NPI
Gary J. Guzzardo, MD, Inc.
- Gastroenterology Physician
- Stuart, FL
National Provider Identifier
1639337140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME54901
- Legal business name
- GARY J. GUZZARDO, MD, INC.
- Practice address
- 2100 SE Ocean Blvd Ste 103
Stuart, FL 34996-3332 - Phone
- (772) 247-7856
- Fax
- (772) 247-7854
- NPI assigned
- May 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Berger
- Title
- Owner
- Phone
- (305) 504-6797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME54901 | FL | Primary |
Addresses
Primary practice location
2100 SE Ocean Blvd Ste 103
Stuart, FL 34996-3332
Mailing address
2100 SE Ocean Blvd Ste 103
Stuart, FL 34996-3332
Phone (772) 247-7856
Other practice location 1
1601 Clint Moore Rd Ste 150
Boca Raton, FL 33487-5715
Phone (772) 247-1106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2100 SE Ocean Blvd
Ste 103
Stuart, FL 34996
Phone (772) 247-7856
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Stuart, FL
- NPI 1760120877
-
- Gastroenterology Physician
- Stuart, FL
- NPI 1669552717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1639337140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SE OCEAN BLVD STE 103",
"city": "STUART",
"state": "FL",
"postal_code": "349963332",
"telephone_number": "772-247-7856",
"fax_number": "772-247-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE OCEAN BLVD STE 103",
"city": "STUART",
"state": "FL",
"postal_code": "349963332",
"telephone_number": "772-247-7856",
"fax_number": "772-247-7854"
}
],
"practiceLocations": [
{
"address_1": "1601 Clint Moore Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334875715",
"country_code": "US",
"telephone_number": "772-247-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GARY J. GUZZARDO, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-30",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "BERGER",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-504-6797"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME54901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.