Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY C BERG, PHD
ActiveBRADLEY C BERG, PHD is a Professional Counselor healthcare provider located in MACKS CREEK, Missouri. NPI 1457188054 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MACKS CREEK, MO
Registration Details
- NPI Number
- 1457188054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2024 (1.8828387019077 yrs)
- Last Updated
- Oct 8, 2025
- Licenses
-
NONE (MO)NONE (MO)
Practice Information
- Address
-
52 PAVILION CIRMACKS CREEK, MO, 657868361Browse MO providers · Browse ZIP 65786
- Phone
- 5732865625
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.