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MR. BERNARDUS E RAY CFA PA
NPI 1609083724
Physician Assistant - Surgical in Rotonda West, FL

Active since May 17, 2007
15 BROADMOOR RD, ROTONDA WEST, FL 33947(941) 830-0584 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Oct 2, 2020 (2 updates tracked since 2020).

About Mr. Bernardus E Ray Cfa Pa NPPES

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

MR. BERNARDUS E RAY CFA PA (NPI 1609083724) is an individual surgical provider in Rotonda West, Florida, licensed in Florida (CN 2545) and active in the NPI registry since May 2007. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609083724
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BERNARDUS E RAYCredential: CFA PA
Location Address15 BROADMOOR RDRotonda West, FL 33947-1901
Mailing AddressPo Box 3313Bay St Louis, MS 39521-3313 · (228) 342-3831 · Fax (985) 845-1601
Phone(941) 830-0584
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1609083724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · CN 2545
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 0136000230 (VA)
Also ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License 1131 (FL)
15 BROADMOOR RD, Rotonda West, FL 33947
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Secondary Practice Locations 2

Location 1230 Audubon DrMandeville, LA 70471 · Phone (985) 845-1501 · Fax (985) 845-1601
Location 21700 Tamiami TrlSarasota, FL 34239-3509 · Phone (941) 917-9000

Other Identifiers 1

OtherCN2545FL · Nat C Of Assist Surgeons

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 Bernardus Ray's NPI number?

The NPI number for Bernardus Ray is 1609083724. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Bernardus Ray located?

Bernardus Ray practices at 15 Broadmoor Rd, Rotonda West, FL 33947. The listed phone number is (941) 830-0584.

What is Bernardus Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Bernardus Ray was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.