Berkley Petersen Greene, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

8037 Issued in SC

Practice address

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801

Phone

(843) 766-7103

NPI assigned

Sep 22, 2020

Last updated

Nov 21, 2025By 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 3

Addresses

Other names 1

• Berkley June Petersen Former name

Medicare fee-for-service enrollment

Enrolled in VA, SC2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston ENT Associates, LLCGroup PAC ID 4082662234, 77 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.65 of 100Reported as apm

Quality

85.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: berkley.peterson.p1@direct.entap.nextgenshare.com

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.

• Charleston ENT Associates, LLC

  • Otolaryngology Physician
  • Charleston, SC
  • NPI 1588607303
  Medicare reassignment Care Compare group NPD
• Otolaryngology Associates, PC

  • Otolaryngology Physician
  • Fairfax, VA
  • NPI 1861534836
  Medicare reassignment NPD
• Charleston ENT Associates, LLC

  dba Surgery Center of Charleston

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
  • NPI 1124026422
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1689280802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147801",
            "telephone_number": "843-766-7103",
            "fax_number": "843-377-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147801",
            "telephone_number": "843-766-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BERKLEY",
        "middle_name": "PETERSEN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3532",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001869",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "8037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERKLEY",
            "last_name": "PETERSEN",
            "middle_name": "JUNE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Simpson Greenberg
• William Thomas Greenberg, MD
• Netta Greenblatt
• Greene Physical Therapy LLC
• Amber Greene
• Dolores S Greene, LISW
• Gina Brown Greene, MSP, CCC-SLP
• Misty F Greene
• Samantha Greene
• Stephanie A. Greene, RN

• Audiologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Audiologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.