Madison Rae Berg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2719 Issued in NE

Practice address

620 E 25TH St Ste 7
Kearney, NE 68847-5529

Phone

(308) 455-1781

Fax

(308) 455-1782

NPI assigned

Apr 12, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1639865876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 10TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458009",
            "telephone_number": "402-649-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Benson
• Kelcy Bentley, PA
• Jamie Bentz
• Jensyn E Beranek, PA
• Kaitlyn Beranek, P.A.
• Maggie M Berglund, PLMHP
• Megan Bergquist
• Madison Lynn Bergstrom, DH
• Michelle Berry, RN
• Wade Berry

• Speech-Language Pathologist in Kearney, NE
• Providers in Kearney, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.