Taylor Alexandra Bergh, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0457 Issued in SD

Practice address

3201 S Kiwanis Ave
Sioux Falls, SD 57105-4296

Phone

(605) 999-6501

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1669932273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 44TH PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056376",
            "telephone_number": "605-322-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S KIWANIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054296",
            "telephone_number": "605-999-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGH",
        "first_name": "TAYLOR",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Christine Berger, M.D.
• Timothy Francis Berger, DDS
• Demetria Antoinette Bergeson
• Lance Joseph Bergeson, M.A.
• Jacob Andrew Berggren, DO
• Jeanette F Berglin, CRNA
• Michelle Lee Bergst, DPT
• Anthony J Bergstrom
• Mellisa Marie Bernal-Gonzalez
• Heather Jean Berney, M.D.

• Athletic Trainer in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.