NPIMap

Individual provider Active NPI

Robert Burgess

  • Otolaryngology Physician
  • Rapid City, SD
National Provider Identifier
1013961978
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4820 Issued in SD
Practice address
101 E Minnesota St
Suite 210
Rapid City, SD 57701-7756
Phone
(605) 342-3280
NPI assigned
May 22, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4820 SD Primary

Addresses

Primary practice location

101 E Minnesota St
Suite 210
Rapid City, SD 57701-7756

Mailing address

2820 Mount Rushmore Rd
Rapid City, SD 57701-5462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, NE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060608000332 TX Practitioner - Otolaryngology 5890702146 Reassigns benefits to 1 organization
I20100317000547 SD Practitioner - Otolaryngology 5890702146 Reassigns benefits to 1 organization
I20101014000098 NE Practitioner - Otolaryngology 5890702146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Iowa, RJ & L Carver College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

Practice addresses (Care Compare)

2091 Box Butte Ave
Suite 700
Alliance, NE 69301-4458
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301-4444

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

4150 5TH St
Rapid City, SD 57701-6022
Phone (605) 755-4100

PO Box
Suite 678
Alliance, NE 69301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4820SDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jan 5, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jan 5, 2023 Accepting new patients
Box Butte General Hospital CurrentSince Jun 12, 2019 Accepting new patients
Chadron Community Hospital Corp. Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 3, 2006 Accepting new patients
Box Butte General Hospital CurrentSince Jun 12, 2019 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 3, 2006 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Chadron Community Hospital Corp. Past Accepting new patients

Locations

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

300 E 8th St
Gordon, NE 69343
Phone (308) 282-0401

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4940 5th St
Ste 2B
Rapid City, SD 57701
Phone (605) 716-6390

Interoperability endpoints

  • Direct secure messaging: rburgess@bbgh.securechart.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1013961978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 MOUNT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MINNESOTA ST",
            "address_2": "SUITE 210",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017756",
            "telephone_number": "605-342-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.