Individual provider Active NPI

Jacqueline Maher Bernard, M.D.

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
National Provider Identifier
1780655498
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME103282 Issued in FL
Practice address
1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5515
Phone
(386) 274-7118
NPI assigned
Jan 30, 2006
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME 103282 FL
Diagnostic Radiology Physician 2085R0202X ME103282 FL Primary

Addresses

Primary practice location

1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5515

Mailing address

1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5516
Phone (386) 274-7118

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-5515
Phone (352) 273-7002

Other practice location 2

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Other identifiers 2

IdentifierTypeStateIssuer
018433800MedicaidFL
6G4SNOtherFLBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110317000438 FL Practitioner - Diagnostic Radiology 0648323402 Reassigns benefits to 8 organizations
I20210527002003 VI Practitioner - Diagnostic Radiology 0648323402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
East Central Florida Outpatient Imaging LLCGroup PAC ID 9830175199, 44 clinicians
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone (904) 823-3401

1357 Fairway Village Dr
Fleming Island, FL 32003-8399
Phone (386) 274-7118

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

190 Southpark Blvd
Suite 101
St Augustine, FL 32086-4209
Phone (904) 827-9191

202 Phillips PL
Orlando, FL 32806-1218
Phone (352) 732-7400

2105 Hwy 44 W
Inverness, FL 34453-3805
Phone (352) 419-4818

2128 Park Ave
Orange Park, FL 32073-5584
Phone (386) 274-6143

351 Town Plaza Ave
Ponte Vedra, FL 32081-5179

70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 103282FLMDDiagnostic Radiology Physician
ME103282FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Oct 3, 2022 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Aug 9, 2021 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Aug 9, 2021 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince May 1, 2025 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
East Central Florida Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

1890 Lpga Blvd
Ste 110
Daytona Beach, FL 32117
Phone (386) 274-5454

577 N Williamson Blvd
Daytona Beach, FL 32114

3400 E Halifax Crossing Blvd
Ste 170
Deltona, FL 32725

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

2128 Park Ave
Orange Park, FL 32073
Phone (904) 264-9922

21 Hospital Dr
Ste 130
Palm Coast, FL 32164
Phone (386) 445-4400

3 Pine Cone Dr
Ste 101
Palm Coast, FL 32137
Phone (386) 446-5200

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1195 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 763-5300

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

190 Southpark Blvd
Ste 101
St Augustine, FL 32086
Phone (904) 827-9191

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbernard741978@direct.shands.ufl.edu

Organizations & group practices 12

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 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1780655498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175516",
            "telephone_number": "386-274-7118",
            "fax_number": "386-274-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175515",
            "telephone_number": "386-274-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326105515",
            "country_code": "US",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "JACQUELINE",
        "middle_name": "MAHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 103282",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME103282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018433800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "6G4SN",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.