Debra M Berg, APRN, BC
Individual provider Active NPI Adult Health Nurse Practitioner · Martinsville, IN
NPI 1710078837 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710078837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 71000842A (IN)
- Practice address
- 4199 Arnold Ave
Martinsville, IN 46151-6941 - Phone
- (765) 349-1950
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000842A | IN | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71000842A | IN | Yes |
Addresses
Primary practice location
4199 Arnold Ave
Martinsville, IN 46151-6941
Mailing address
4199 Arnold Ave
Martinsville, IN 46151-6941
Phone (765) 349-1950
Other providers in Martinsville, IN
- Sharon Bathory
- Sierra Nicole Batz
- Behavior Inc
- Amy Belcher
- Brandy R Bell
- Alice Marie Bishop
- Haley Blakely
- Bloomington Oral & Maxillofacial Surgery
- Bluff Creek Family Dental
- Riley Boer
All providers in Martinsville, IN · Adult Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.