Active NPI
Tamera Berget, PA-C
- Surgical Physician Assistant
- Middleton, WI
National Provider Identifier
1124083779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1284-23
- Practice address
- 2275 Deming Way
Middleton, WI 53562-5527 - Phone
- (608) 417-8388
- Fax
- (608) 417-8389
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Greenfield, WI
- NPI 1770506669
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284 | WI | MD | Occupational Therapist |
| 1284-23 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Past | Accepting new patients | |
| Advanced Pain Management SC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1284-23 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2275 Deming Way
Middleton, WI 53562-5527
Mailing address
202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11886466 | Other | CAQH | |
| 42994600 | Medicaid | WI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2014.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1124083779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 DEMING WAY",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625527",
"telephone_number": "608-417-8388",
"fax_number": "608-417-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGET",
"first_name": "TAMERA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "1284-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11886466",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42994600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.