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

Bernice Baroudi, DO

Individual provider Dermatology Physician · NPI 1053806000

Bernice Baroudi, DO is a Dermatology in Port Charlotte, Florida. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
FL
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3222 Tamiami Trl
Port Charlotte, FL 33952-8048
Phone: (941) 627-5155
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS19199 (FL)

Record details

NPI number1053806000
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2018
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address3222 Tamiami Trl, Port Charlotte, FL 33952-8048

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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