Mark Elliot Berke, M.A. CCC-A
Individual provider Active NPI Audiologist · Simpsonville, SC
NPI 1093856908 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093856908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 3336 (SC)
- Practice address
- 200 Torrey CT
Simpsonville, SC 29680-6743 - Phone
- (864) 962-5461
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3336 | SC | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3336 | SC | Yes |
Addresses
Primary practice location
200 Torrey CT
Simpsonville, SC 29680-6743
Mailing address
200 Torrey CT
Simpsonville, SC 29680-6743
Phone (864) 962-5461
Other providers in Simpsonville, SC
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- Bennefield & Associates, LLC
- Michelle Clayton Benton
- Benjamin Henry Bertino
- Sanjay Bhatt
- Thomas David Bidwell
- Nivedita S Bijoor
- Laurel Delaney Black
All providers in Simpsonville, SC · Audiologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.