Provider Demographics
NPI:1730159518
Name:BERKEY, DAVID ALAN (AUD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:BERKEY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1736
Mailing Address - Country:US
Mailing Address - Phone:828-277-1000
Mailing Address - Fax:828-277-1026
Practice Address - Street 1:1 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 110
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1736
Practice Address - Country:US
Practice Address - Phone:828-277-1000
Practice Address - Fax:828-277-1026
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2209231H00000X, 231HA2400X, 231HA2500X
NC701237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC54476OtherMEDCOST
NC7411671Medicaid
NC15122OtherBLUE CROSS BLUE SHIELD NC
NC2520384Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER