Daniel R Berg MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01030985A Issued in IN

Legal business name

DANIEL R BERG MD PC

Practice address

2620 North Walnut Street
Suite 400
Bloomington, IN 47404

Phone

(812) 335-1824

Fax

(812) 335-1825

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Daniel R Berg, MD

Title

Owner

Phone

(812) 334-9158

Specialties & licenses 1

Addresses

Other names 1

• DRB PC Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013086792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 NORTH WALNUT STREET",
            "address_2": "SUITE 400",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404",
            "fax_number": "812-335-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 NORTH WALNUT STREET",
            "address_2": "SUITE 400",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404",
            "telephone_number": "812-335-1824",
            "fax_number": "812-335-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R BERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-334-9158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030985A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRB PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson B Dai, DDS
• Esther K Dakwa
• Akhilesh Dakwale, MD
• Jenna Marie Dale, O.D.
• Shannon Danhauer, PNP-PC
• Jacqueline Daniels, LCSW
• William Daniels Jr., B.S., EPC
• Shannon S Dantonio, NP
• Robarn Danzman, LPC
• Sydney Dapuzzo

• Internal Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.