Daniel Edgar Burgdorf, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X1700 Issued in NY

Practice address

7750 Merrick Rd
Rome, NY 13440-2136

Phone

(315) 336-6761

Fax

(315) 336-6761

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1963

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003985086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 MERRICK RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402136",
            "telephone_number": "315-336-6761",
            "fax_number": "315-336-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 MERRICK RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402136",
            "telephone_number": "315-336-6761",
            "fax_number": "315-336-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGDORF",
        "first_name": "DANIEL",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB AUTHORIZATION NUMBER",
            "identifier": "C01700-6",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Brown
• Jean Anne Browne, OTR/L
• Kory W Buckley, DPT
• Lauren Buehler, LMSW
• Buffalo Vamc
• Michael Ethan Burgdorf, D.C.
• Lawrence Burgreen, M.D.
• Abbey Burke, RN
• Mary Jo Burns, PHD, APRN, BC-PMH
• Scott T Burns, RPH

• Chiropractor in Rome, NY
• Providers in Rome, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.