Lee Brian Berger, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003172 Issued in WA

Practice address

5625 SW Admiral Way
Seattle, WA 98116

Phone

(206) 851-5748

NPI assigned

Mar 29, 2010

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Independence Rehab

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1407982630

  Speech-Language Pathologist

  NPD (past)
• Independence Rehab, LLC

  • Physical Therapist
  • Provo, UT
  • NPI 1063781813

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1740505254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 SW ADMIRAL WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163110",
            "telephone_number": "206-851-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 SW ADMIRAL WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98116",
            "telephone_number": "206-851-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "LEE",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B Berger, MD
• Gabrielle Nicole Berger, MD
• Jenna Rose Berger, BCBA
• Kari Jean Berger, AC
• Ken M Berger, L.M.P.
• Merrill Berger, PH.D.
• Richard Alan Berger, LMFT
• Richard E Berger
• Robin Peter Berger, MD
• Ronni S Berger, RN

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.