| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1891468278 | | | | THE SOUTH BEND CLINIC LLC | 6301 UNIVERSITY COMMONS STE 230 | SOUTH BEND | IN | 466351590 |
| 1336166941 | BERTONCINI | DAVID | C | | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466289570 |
| 1982694568 | BLECHL | JAMES | F | | 4440 NORTH PORTAGE | SOUTH BEND | IN | 466289570 |
| 1407206824 | CASSADY | ROBERT | | | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 |
| 1518316140 | DITTY | JONATHAN | EDWARDS | | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 |
| 1710904321 | GONGWER | CAMERON | R. | | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466288579 |
| 1043200629 | GONGWER | CURTIS | L | | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466288579 |
| 1285998146 | LARSEN | THOMAS | | | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 |
| 1871195487 | POINTON | GABRIELLE | E | | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 |
| 1063402444 | SEASLY | THOMAS | P | | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466289570 |
| 1689664070 | STANISH | MARK | S | | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466289570 |