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MS. BETHANY HERTOG
NPI 1417401787
Nurse Practitioner - Family in Indianapolis, IN

Active since August 04, 2016
429 E VERMONT ST, STE 110, INDIANAPOLIS, IN 46202(317) 559-0950 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Bethany Hertog NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BETHANY HERTOG (NPI 1417401787) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (28170125A) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1417401787
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BETHANY HERTOG
Location Address429 E VERMONT ST, STE 110Indianapolis, IN 46202-3685
Mailing Address429 E Vermont St, Ste 110Indianapolis, IN 46202-3685 · (317) 559-0950
Phone(317) 559-0950
Sole ProprietorNo
Enumeration DateAugust 4, 2016
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1417401787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28170125A
429 E VERMONT ST, Indianapolis, IN 46202
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE JACKSON MSW, LCSW
Social Worker (Clinical)
429 E VERMONT ST, SUITE 205
INDIANAPOLIS, IN 46202
Marion County (317) 289-1117
THE PSYCHOTHERAPY OFFICES OF DAVID KEARBY LCSW, LLC
Social Worker (Clinical)
429 E VERMONT ST, SUITE 205
INDIANAPOLIS, IN 46202
Marion County (317) 215-0548
TARYN GODA LSW
Social Worker
429 E VERMONT ST
INDIANAPOLIS, IN 46202
Marion County (708) 428-2527
MR. PATRICK J MCWEENY MSSA, LCSW
Social Worker (Clinical)
429 E VERMONT ST, SUITE # 205
INDIANAPOLIS, IN 46202
Marion County (317) 423-0855
JONATHAN TODD LEDET PTA
Physical Therapy Assistant
429 E VERMONT ST
INDIANAPOLIS, IN 46202
Marion County (317) 997-0065
DR. MATTHEW GREGORY GRANT PSY.D.
Psychologist
429 E VERMONT ST, 307
INDIANAPOLIS, IN 46202
Marion County (317) 490-8179
VONZOLLA MONIQUE ELLIOTT
Social Worker (Clinical)
429 E VERMONT ST
INDIANAPOLIS, IN 46202
Marion County (317) 723-3181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Hertog's NPI number?

The NPI number for Bethany Hertog is 1417401787. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Bethany Hertog located?

Bethany Hertog practices at 429 E Vermont St Ste 110, Indianapolis, IN 46202. The listed phone number is (317) 559-0950.

What is Bethany Hertog's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bethany Hertog was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.