Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Keith T Bersch, PAC

Individual provider Physician Assistant · NPI 1598141921

Mr. Keith T Bersch, PAC is a Physician Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in California and North Carolina.

Licensed in
CA, NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

320 Lillington Ave Ste 101
Charlotte, NC 28204-3189
Phone: (704) 362-4403
Fax: (704) 362-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08047 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 52639 (CA)

Record details

NPI number1598141921
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedAugust 7, 2015
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

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