Organization Active NPI

Gary J. Guzzardo, MD, Inc.

  • Gastroenterology Physician
  • Stuart, FL
National Provider Identifier
1639337140
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME54901 Issued in FL
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

Updated by the provider on Sep 10, 2026

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260403000120 FL Part B Supplier - Clinic/Group Practice 8123503521 Receives reassigned benefits from 2 practitioners
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.