MEDICARE: DR. JERICA BERGE PHD, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1218	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	62-66860	OTHER	MN	UBH
3	1044097	OTHER	MN	PREFERRED ONE
4	136417	OTHER	MN	UCARE
5	HP37859	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1043254006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERICA BERGE PHD, LMFT

Provider Business Mailing Address
First Line	:	UMPHYSICIANS BROADWAY FAMILY MEDICINE
Second Line	:	1020 WEST BROADWAY
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411
Country	:	US
Telephone Number	:	612-302-8200
Fax Number	:	612-302-8275

Provider Business Practice Location Address
First Line	:	UMPHYSICIANS BROADWAY FAMILY MEDICINE
Second Line	:	1020 WEST BROADWAY
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411
Country	:	US
Telephone Number	:	612-302-8200
Fax Number	:	612-302-8275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1598178204 — THEA RENEE FREDERICKSEN M.A., OTR/L
Practice Location Address:

1250 W BROADWAY AVE
MINNEAPOLIS, MN
55411-2533

Practice Phone: 612-668-0254
Practice Fax:

1003290701 — AMIRA YAGI DDS
Practice Location Address:

2220 PLYMOUTH AVE N
MINNEAPOLIS, MN
55411-3600

Practice Phone: 612-543-3525
Practice Fax:

1346703501 — RHETT ALLEN BERG DDS
Practice Location Address:

1313 PENN AVE N
MINNEAPOLIS, MN
55411-3047

Practice Phone: 612-543-2500
Practice Fax:

1255337796 — ST. OLAF RESIDENCE, INC.
Practice Location Address:

2912 FREMONT AVE N
MINNEAPOLIS, MN
55411-1313

Practice Phone: 612-522-6561
Practice Fax: 612-522-2921

1851393672 — JEAN YEUNG MOON PHARM.D.
Practice Location Address:

1020 W BROADWAY AVE
MINNEAPOLIS, MN
55411-2504

Practice Phone: 612-302-8361
Practice Fax: 612-302-8277

1144216532 — MR. STEVEN T BEDE LICSW
Practice Location Address:

2900 FREMONT AVE N
MINNEAPOLIS, MN
55411-1313

Practice Phone: 612-287-9913
Practice Fax: 612-287-9914

1023095627 — BROWNELL MACK III PSYD
Practice Location Address:

1313 PENN AVE N
MINNEAPOLIS, MN
55411-3047

Practice Phone: 612-302-4600
Practice Fax:

Directions to “ DR. JERICA BERGE PHD, LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.