BRANDON BERKA
NPI 1497379945
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Brandon Berka's NPI number?

The NPI number for Brandon Berka is 1497379945. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Q: What is Brandon Berka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Berka was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2020PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2023, Jun 18, 2020, Jun 1, 2020 (3 updates tracked since 2020).

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About Brandon Berka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON BERKA (NPI 1497379945) is an individual student in an organized health care education/training program in Jackson, Michigan, licensed in Michigan (4351046921) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497379945

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON BERKA

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateJune 1, 2020

Last NPPES UpdateJune 9, 20233 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1497379945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351046921

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Berka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant