Matthew Alexander Berg

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601003257 Issued in MI

Practice address

2121 W Wyndham Hill Dr NE
Grand Rapids, MI 49505-7116

Phone

(248) 568-8394

NPI assigned

Jun 30, 2026

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1801713979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W WYNDHAM HILL DR NE APT 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056350",
            "telephone_number": "248-568-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W WYNDHAM HILL DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495057116",
            "telephone_number": "248-568-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601003257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Brigid Bereza, RN
• Richard A Bereza, M.D.
• Brandon J Berg, DC
• Daniel Berg
• Dorothy E Berg, PH D
• Matthew James Berg
• Kimberly Sue Bergbower
• Taylor Bergbower
• Christine Bergeon Burns, MS, PHD, CGC
• Lisa Marie Berger, P.A.

• Athletic Trainer in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.