Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernadette McDermott Dazzo, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184253312

Bernadette McDermott Dazzo, DO is an Emergency Medicine in Muskegon, Michigan. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2020, 6 years ago. Practices with Colquitt Regional Emergency Physicians, LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone: (231) 672-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 905 E Colby St, Whitehall, MI 49461-1262 — (231) 672-8050

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101026674 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184253312
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2020
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address1675 Leahy St Ste 315a, Muskegon, MI 49442-5543

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2020 (6 years in practice)
Group practice Colquitt Regional Emergency Physicians, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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