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

Dustin Michael Bergman

Individual provider Pediatric Anesthesiology Physician · NPI 1477143949

Dustin Michael Bergman is a Certified Registered Nurse Anesthetist (CRNA) in Dayton, Ohio. Qualified in 2020, 6 years ago. Practices with Dayton Childrens Specialty Physicians Inc, a 92-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021

Practice location Address checks out

1 Childrens Plz
Dayton, OH 45404-1815
Phone: (937) 641-3477
Fax: (937) 641-5410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 W Tech Rd, Miamisburg, OH 45342-0955 — (937) 641-3880

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence APRN.CRNA.0020210 (OH)

Record details

NPI number1477143949
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address1430 Abbey Park Pl, Xenia, OH 45385-7512

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dayton Childrens Specialty Physicians Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dayton