Stephen L Burgert, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

39199 Issued in CO

Practice address

2555 E 13TH St
Suite 220
Loveland, CO 80537-5161

Phone

(970) 669-5432

Fax

(970) 461-6275

NPI assigned

Oct 25, 2005

Last updated

May 14, 2009By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Big Thompson Medical Group Inc

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1720011786
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1033109699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST",
            "address_2": "SUITE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375161",
            "telephone_number": "970-669-5432",
            "fax_number": "970-461-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST",
            "address_2": "SUITE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375161",
            "telephone_number": "970-669-5432",
            "fax_number": "970-461-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGERT",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "39199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123408100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00382854",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43601049",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84081574413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Linn Bukowski, FNP-BC
• Basak Buller, RPH
• Reece Quentin Bundy, LSW
• Bonnie Burban
• Christopher A Bureau, PA-C
• Robert Burke, M.D.
• Heidi J Burnett, NP
• Marlene Therese Burnett, RDH
• Macey Burns
• Angel Burse

• Gastroenterology Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Gastroenterology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.