NPIMap

Individual provider Active NPI

Brian L Burke, MD

  • Diagnostic Radiology Physician
  • Mount Pleasant, SC
National Provider Identifier
1013977040
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35175 Issued in SC
Practice address
1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone
(843) 824-0606
Fax
(843) 824-0909
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35175 SC Primary

Addresses

Primary practice location

1241 Woodland Ave
Mount Pleasant, SC 29464-3288

Mailing address

1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone (843) 824-0606

Other identifiers 2

IdentifierTypeStateIssuer
300122675OtherCORAILROAD MEDICARE
86750305MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130724000665 SC Practitioner - Diagnostic Radiology 6305827338 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelican II LLCGroup PAC ID 1759484082, 18 clinicians
Charleston Radiologists PAGroup PAC ID 9436054715, 35 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

1241 Woodland Ave
Mt Pleasant, SC 29464-3288
Phone (843) 881-4020

2550 Elms Ctr Rd
North Charleston, SC 29406-9844
Phone (866) 717-9687

2880 Tricom St
N Charleston, SC 29406-9171
Phone (843) 797-5050

2902 Marshall Blvd
Sullivans Island, SC 29482-9637
Phone (541) 618-5800

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (866) 717-9687

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (866) 717-9687

8330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (866) 717-9687

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35175SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Aug 7, 2024 Accepting new patients
Pelican II, LLC Diagnostic Radiology CurrentSince Nov 23, 2013 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jul 24, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 24, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince May 27, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC Diagnostic Radiology CurrentSince Oct 11, 2018 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jul 24, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 11, 2018 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 24, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Charleston Radiologists PA Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Advanced Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
New Schryver LLC Past Accepting new patients
Schryver Medical Sales and Marketing Inc. Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1013977040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 WOODLAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643288",
            "telephone_number": "843-824-0606",
            "fax_number": "843-824-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 WOODLAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643288",
            "telephone_number": "843-824-0606",
            "fax_number": "843-824-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "35175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300122675",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86750305",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.