DANIEL J BERGER (NPI# 1831166362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831166362 |
| Entity Type | Individual |
| Full Name | DANIEL J BERGER |
| Credential | MD |
| Practice Address |
304 E Vistula St Bristol IN 46507 |
| Mailing Address |
304 E Vistula St Bristol IN 46507-9489 |
| Practice Telephone | 5748484039 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01055284A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200385260 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2824 Elkhart Rd, Goshen, IN 46526 | 5745351700 | |
| 304 E Vistula St, Bristol, IN 465079489 | 5748484039 | |
| 3421 S Main St, Elkhart, IN 465173125 | 5742957178 | 5742958822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073950390 | Daniel Berger | Internal Medicine | 3000 N Halsted St Ste 625, Chicago, IL 60657-5196 | 2013-05-28 |
| 1194964205 | Daniel Ron Berger | Family Medicine | 4486 N University Dr, Lauderhill, FL 33351-4513 | 2009-02-12 |
| 1710076237 | Daniel S Berger | Internal Medicine | 2835 N Sheffield Ave, Sutie 500, Chicago, IL 60657-5081 | 2006-10-12 |
| 1073539359 | Daniel R Berger | Emergency Medicine | 24800 Se Stark St, Gresham, OR 97030-3378 | 2006-07-13 |
| 1669407680 | Daniel Nathan Berger | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-07-11 |
| 1902879091 | Daniel Andrew Berger | Obstetrics & Gynecology | 433 Bellevue Ave, Trenton, NJ 08618-4514 | 2006-02-09 |
| Street Address |
304 E VISTULA ST |
| City | BRISTOL |
| State | IN |
| Zip Code | 46507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765146 | Mackenzie Shireman | Registered Nurse | 304 E Vistula St, Bristol, IN 46507 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757643 | Adec - Village Men | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19816 State Road 120 #3, Bristol, IN 46507 | 2007-04-13 |
| 1295839462 | Hardings Markets-west Inc | Pharmacy | 300 East Elkhart St, Bristol, IN 46507 | 2006-09-11 |
| 1801825179 | Brenda H. Spence | Psychologist | 201 S. Division St., Bristol, IN 46507-0275 | 2006-06-30 |
| 1023307014 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1114216108 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1982879474 | Adec Inc | Community Based Residential Treatment Facility, Mental Illness | 19670 State Road 120, Bristol, IN 46507-0398 | 2008-04-25 |
| 1780756676 | David M Brilliandt | Dentist | 220 Bloomingdale, Bristol, IN 46507-8405 | 2006-11-15 |
| 1144517780 | Angel Dailey | Licensed Practical Nurse | 13350 Vistula Dr, Bristol, IN 46507-8511 | 2011-07-04 |
| 1669471884 | Regional Home Health Care Inc | Home Health | 3367 Bridgetown Rd, Bristol, IN 46507-8765 | 2005-07-19 |
| 1053552042 | Senior Mobility Incorporated | Non-emergency Medical Transport (VAN) | 9695 Old Port Cv, Bristol, IN 46507-8788 | 2009-03-20 |
| Find all providers in zip 46507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1760758734 | Renee Bratspis | Family Medicine | 74 Munsill Ave Ste 100, Bristol, VT 05443-1047 | 2012-03-23 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1780829572 | David Lynn Stevens | Family Medicine | 504 Old Jonesboro Rd, Bristol, TN 37620-5670 | 2008-12-08 |
| 1285892299 | Natasha Alexa Withers | Family Medicine | 61 Pine St Ste 400, Bristol, VT 05443-1043 | 2008-05-27 |
| 1992901409 | Uzoma N Obuekwe | Family Medicine | 2001 Euclid Ave, Bristol, VA 24201-3609 | 2007-06-22 |
| 1750502514 | Ronna Denise New | Family Medicine | 1 Medical Park Blvd Ste 450w, Bristol, TN 37620-7470 | 2007-05-01 |
| 1063552461 | Carol A Dewey | Family Medicine | 522 Alabama St, Bristol, TN 37620-2307 | 2007-02-07 |
| 1093898702 | J Scott Ries | Family Medicine | 504 Old Jonesboro Road, Bristol, TN 37620 | 2006-10-24 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.