Individual provider Active NPI

Brian William Berce Sr., LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1740308436
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070045 Issued in MI
Practice address
2828 Kraft Ave SE
Ste 186
Grand Rapids, MI 49512-7700
Phone
(616) 949-9550
Fax
(616) 949-9551
NPI assigned
Mar 27, 2007
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801070045 MI Primary

Addresses

Primary practice location

2828 Kraft Ave SE
Ste 186
Grand Rapids, MI 49512-7700

Mailing address

PO Box 1767
Grand Rapids, MI 49501-1767
Phone (616) 235-2090

Other names 1

  • Berce William Berce Sr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141204000964 MI Practitioner - Clinical Social Worker 2860714797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Park Counseling PLLCGroup PAC ID 7517340557, 8 clinicians

Practice addresses (Care Compare)

2828 Kraft Ave SE
Suite 186
Grand Rapids, MI 49512-2076
Phone 6169499550164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801070045MIMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1740308436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1767",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011767",
            "telephone_number": "616-235-2090",
            "fax_number": "616-235-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 KRAFT AVE SE",
            "address_2": "STE 186",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495127700",
            "telephone_number": "616-949-9550",
            "fax_number": "616-949-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCE",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_suffix": "Sr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERCE",
            "last_name": "BERCE",
            "middle_name": "WILLIAM",
            "suffix": "SR.",
            "credential": "LIC SOCIAL WORKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.