Active NPI
Susan B. Bergey, CCC SLP L
- Speech-Language Pathologist
- Harleysville, PA
National Provider Identifier
1124232301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL006179L
- Practice address
- 310 Broad St
Suite H
Harleysville, PA 19438-2399 - Phone
- (215) 513-2240
- Fax
- (215) 513-1891
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL006179L | PA | Primary |
Addresses
Primary practice location
310 Broad St
Suite H
Harleysville, PA 19438-2399
Mailing address
356 Hamilton Dr
Harleysville, PA 19438-2150
Phone (215) 513-0901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL006179L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124232301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 HAMILTON DR",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382150",
"telephone_number": "215-513-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 BROAD ST",
"address_2": "SUITE H",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382399",
"telephone_number": "215-513-2240",
"fax_number": "215-513-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGEY",
"first_name": "SUSAN",
"middle_name": "B.",
"credential": "CCC SLP L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL006179L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.