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

Douglas Dean Doctor, MD

Individual provider Family Medicine Physician · NPI 1376598938

Douglas Dean Doctor, MD is a Family Practice in South Bend, Indiana. Graduated from Indiana University School of Medicine in 1986, 40 years ago. Works from 2 locations. Licensed in Indiana.

Years since qualifying
40
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17321 State Road 23
South Bend, IN 46635-1531
Phone: (574) 335-8400
Fax: (574) 335-0796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 231 W Day Rd, Mishawaka, IN 46545-1401 — (574) 335-8445

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01036380 (IN)

Record details

NPI number1376598938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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