Danielle Kusserow Bersabe, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26567 Issued in MS

Practice address

920 Cedar Lake Rd Ste R
Biloxi, MS 39532-2107

Phone

(228) 207-0260

NPI assigned

May 31, 2012

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• D.a.B. Medical, PLLC

  • Specialist
  • Ocean Springs, MS
  • NPI 1649032814
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1003177593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DR",
            "address_2": "INTERNAL MEDICINE CLINIC",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CEDAR LAKE RD STE R",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322107",
            "telephone_number": "228-207-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSABE",
        "first_name": "DANIELLE",
        "middle_name": "KUSSEROW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "26567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakob R Benne, PA-C
• Ginger Bennett, MT-BC, NMT
• Thomas Bennington II
• Leonard Leon Bentz, LCSW
• Benzer Ms 1 LLC (Benzer Pharmacy)
• Anthony P Bertasi III, D.O.
• Gregory Emile Bertucci, MD
• Best Anesthesia, PLLC
• Yashashree L Bethala, MD
• Bethel Health Service, LLC

• Internal Medicine Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.