Active NPIIndividual provider

Kimberly S Berebitsky, MD

Dermatology in Bloomington, Indiana

NPI Number1215917950
Practice location
1010 W 2ND St, Bloomington, IN 47403-2217
Fax
930-200-8590
Last updated
February 25, 2026

Kimberly S Berebitsky is a Dermatology based in Bloomington, IN. Kimberly S Berebitsky practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Kimberly S Berebitsky is 1215917950 and holds a License No. 01057099A (IN). The current practice location address for Kimberly S Berebitsky is 1010 W 2ND St, Bloomington, IN 47403-2217 and can be reached out via phone at 812-200-2458 and via fax at 930-200-8590.

Provider Profile Details

NPI Number
1215917950
Provider Name
Kimberly S Berebitsky
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1010 W 2ND St, Bloomington, IN 47403-2217
Phone Number
812-200-2458
Fax Number
930-200-8590
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2006
Last Update Date
February 25, 2026
Certification Date
February 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1010 W 2ND St
Bloomington, IN 47403-2217
State
Indiana
Zip
47403-2217
Phone Number
812-200-2458
Fax Number
930-200-8590
Bloomington, IN 47403Get directions →

Provider Business Mailing Address Details

Address
111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
City
Portsmouth
State
NH
Zip
03801-2864
Phone Number
330-947-6021

License Information

License Number (1)
01057099A
License State (1)
IN
Taxonomy (1)
Dermatology · 207N00000X · Primary
License Number (2)
01057099A
License State (2)
IN
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly S Berebitsky, MD?

The NPI number of Kimberly S Berebitsky, MD is 1215917950. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Kimberly S Berebitsky, MD?

Kimberly S Berebitsky, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in IN under license number 01057099A.

Where does Kimberly S Berebitsky, MD practice?

The practice location is 1010 W 2ND St, Bloomington, IN 47403-2217. The office can be reached at 812-200-2458 (phone) or 930-200-8590 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215917950 directly on the NPPES registry website.

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