Phillip E Burns, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME72745 Issued in FL

Practice address

208 N University Dr
Pembroke Pines, FL 33024-6716

Phone

(954) 432-3888

Fax

(954) 432-1165

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nicklaus Children'S Pediatric Specialists, LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
  • NPI 1588063176
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1003805094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "address_2": "SUITE C-350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732539",
            "telephone_number": "954-731-9676",
            "fax_number": "954-731-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246716",
            "telephone_number": "954-432-3888",
            "fax_number": "954-432-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "PHILLIP",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME72745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252343100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eboni Michelle Burden
• Claudia Lorena Burgoa, OTR/L, CLT
• Simone Maria Burgos-Juteram, ARNP
• Luz E Burgos
• Adrienne Leigh Burnett, PTA
• Meghan Milcich Burrell, APRN,FNP-C
• Marina Buryk, ARNP
• Isabella Buschbeck
• Bush Foot & Ankle LLC
• Tony Butkevich, PTA

• Pediatrics Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.