{"npi":"1689280802","type":"NPI-1","status":"active","name":{"display":"Berkley Greene Aud","other":[{"code":"1","type":"Formerly known as","value":"PETERSEN, BERKLEY JUNE"}],"first":"BERKLEY","last":"GREENE","middle":"PETERSEN","credential":"AUD"},"specialty":{"primary_taxonomy":"231H00000X","primary_taxonomy_description":"Audiologist","slug":"audiologist","schema_org_specialty":null,"all":[{"code":"231H00000X","description":"Audiologist","primary":false,"state":"CA","license":"3532"},{"code":"231H00000X","description":"Audiologist","primary":false,"state":"VA","license":"2201001869"},{"code":"231H00000X","description":"Audiologist","primary":true,"state":"SC","license":"8037"}]},"addresses":[{"purpose":"LOCATION","street_1":"2295 HENRY TECKLENBURG DR","city":"CHARLESTON","state":"SC","postal_code":"294147801","country_code":"US","phone":"8437667103"},{"purpose":"MAILING","street_1":"2295 HENRY TECKLENBURG DR","city":"CHARLESTON","state":"SC","postal_code":"294147801","country_code":"US","phone":"8437667103","fax":"8433774629"}],"license":{"state":"SC","number":"8037"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220810000101","type_code":"14-64","type_desc":"PRACTITIONER - QUALIFIED AUDIOLOGIST","state":"DC","pac_id":"0547689754"},{"enrlmt_id":"I20220920000162","type_code":"14-64","type_desc":"PRACTITIONER - QUALIFIED AUDIOLOGIST","state":"VA","pac_id":"0547689754"},{"enrlmt_id":"I20251024003117","type_code":"14-64","type_desc":"PRACTITIONER - QUALIFIED AUDIOLOGIST","state":"SC","pac_id":"0547689754"}]},"enumeration_date":"2020-09-22","last_updated":"2025-11-21","_meta":{"source":"NPPES","snapshot_date":"2025-11-21","doc_url":"https://findmynpi.com/api"}}