Active NPI
Philip C Berce, MD
- Dermatology Physician
- Oak Creek, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 84455-020
- Practice address
- 7901 S 6TH St
Oak Creek, WI 53154-2010 - Phone
- (414) 346-8000
- Fax
- (414) 346-8010
- NPI assigned
- Jan 3, 2019
- Last updated
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17959-40 | WI | |
| Dermatology Physician | 207N00000X | 84455-020 | WI | Primary |
Addresses
Primary practice location
7901 S 6TH St
Oak Creek, WI 53154-2010
Mailing address
7901 S 6TH St
Oak Creek, WI 53154-2010
Phone (414) 346-8000
Other practice location 1
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-3323
Other practice location 2
5220 Washington Ave Ste 101
Racine, WI 53406-2440
Phone (262) 632-6564
Other practice location 3
8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-3122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215400031 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17959-40 | WI | MD | Pharmacist |
| 9488 | WI | MD | Nurse Practitioner |
| 9488-851 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B7 Pharmacy Inc | Past | Accepting new patients | |
| Mayer Drug Inc | Past | Accepting new patients | |
| Nutritional Designs LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nutritional Designs and Pharmacy LLC
- Community/Retail Pharmacy
- Racine, WI
- NPI 1912019837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1215400031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 S 6TH ST",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542010",
"telephone_number": "414-346-8000",
"fax_number": "414-346-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 S 6TH ST",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542010",
"telephone_number": "414-346-8000",
"fax_number": "414-346-8010"
}
],
"practiceLocations": [
{
"address_1": "2900 W Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532154330",
"country_code": "US",
"telephone_number": "414-649-3323",
"fax_number": "414-649-5158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5220 Washington Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Racine",
"state": "WI",
"postal_code": "534062440",
"country_code": "US",
"telephone_number": "262-632-6564",
"fax_number": "262-632-6505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 Watertown Plank Rd",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263548",
"country_code": "US",
"telephone_number": "414-955-3122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERCE",
"first_name": "PHILIP",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-03",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17959-40",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "84455-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215400031",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.