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BRIAN D ARDEL MD PA
NPI 1235321639
Internal Medicine in Port Charlotte, FL

Active since August 10, 2007CLIA 10D0714948 · Waiver
3417 TAMIAMI TRL STE D, PORT CHARLOTTE, FL 33952(941) 627-3882(941) 627-3290 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian D Ardel Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN D ARDEL MD PA (NPI 1235321639) is a healthcare organization registered as an internal medicine in Port Charlotte, Florida and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Brian D Ardel, President, as its authorized official.

NPPES Registry Identity

NPI1235321639
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRIAN D ARDEL MD PA
Location Address3417 TAMIAMI TRL STE DPort Charlotte, FL 33952-8158
Mailing Address3417 Tamiami Trl Ste DPort Charlotte, FL 33952-8158 · (941) 627-3882 · Fax (941) 627-3290
Phone(941) 627-3882
Fax(941) 627-3290
Organization SubpartNo
Authorized OfficialBrian D ArdelPresident · (941) 627-3882
Enumeration DateAugust 10, 2007
Last NPPES UpdateJanuary 24, 2011
✔ NPI 1235321639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 0050259
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3417 TAMIAMI TRL STE D, Port Charlotte, FL 33952
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Other Identifiers 1

Medicare PIN39340FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian D Ardel Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian D Ardel MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Ardel, M.D.
Internal Medicine
NPI 1326081530
3417D TAMIAMI TRAIL
Port Charlotte, FL 33952
(941) 627-3882
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0714948

Brian D Ardel MD PA · Port Charlotte, FL
Active · expires Aug 8, 2028
CLIA Number10D0714948
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorDr. Brian D. Ardel
Laboratory Phone(941) 627-3882
Laboratory LocationBrian D Ardel MD PA3417-D Tamiami Tr, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian D Ardel MD PA's NPI number?

The NPI number for Brian D Ardel MD PA is 1235321639. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Brian D Ardel MD PA located?

Brian D Ardel MD PA is located at 3417 Tamiami Trl Ste D, Port Charlotte, FL 33952. The listed phone number is (941) 627-3882.

What is Brian D Ardel MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian D Ardel MD PA enrolled in Medicare?

Yes. Brian D Ardel MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian D Ardel MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Brian D Ardel MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brian D Ardel MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0714948) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brian D Ardel MD PA was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.