DAWN M DETWILER BERGER MD NPI 1043210180

NPI Information

  • NPI: 1043210180
  • Provider Name: DAWN M DETWILER BERGER, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 54938 STATE ROAD 13
    MIDDLEBURY, IN
    ZIP 46540
  • Phone: (574) 825-8685

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NPI Details

Dawn M Detwiler Berger, MD is an emergency medicine in Middlebury, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Dawn M Detwiler Berger, MD NPI is 1043210180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

54938 STATE ROAD 13
MIDDLEBURY, IN
ZIP 46540-608
Phone: (574) 825-8685
Fax: (574) 825-1256

The NPI 1043210180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 2/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical Services01045293INDIANANo
2207P00000XEmergency Medicine01045293AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
123220MMMEDICARE ID-TYPE UNSPECIFIEDINDIANA
2G62654MEDICARE UPIN
3200123720MEDICAIDINDIANA
4223420JJJMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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