Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth A. Berdick, MD, PA

Organization Internal Medicine Physician · NPI 1508125170

Kenneth A. Berdick, MD, PA is an Internal Medicine Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3714 Evans Ave
Fort Myers, FL 33901-9303
Phone: (239) 334-4157
Fax: (239) 334-1904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0017772 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence NP1971252 (FL)

Record details

NPI number1508125170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Berdick — President · (239) 334-4157
NPI enumeratedMay 16, 2012
Last updated in NPPESSeptember 24, 2012
Mailing address3714 Evans Ave, Fort Myers, FL 33901-9303

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