Active NPI
Michael William Burke, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- ME111430
- Practice address
- 2210 61St St W
Bradenton, FL 34209-5527 - Phone
- (941) 792-0611
- Fax
- (941) 792-0086
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME111430 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME111430 | FL | |
| Hospitalist Physician | 208M00000X | ME111430 | FL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME111430 | FL | Primary |
Addresses
Primary practice location
2210 61St St W
Bradenton, FL 34209-5527
Mailing address
5857 21St Ave W Ste a
Bradenton, FL 34209-5641
Phone (941) 792-0611
Other practice location 1
5857 21st Ave W Ste A
Bradenton, FL 34209-5641
Phone (941) 792-0611
Other practice location 2
5857 21st Ave W Ste A
Bradenton, FL 34209-5641
Phone (941) 792-0611
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BLAKE.COCLW.FLG@CCDA.HCADIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111430 | FL | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Healing Arts Medical Center, Inc. | Current | Accepting new patients | |
| Saving Lives Medical LLC | Current | Accepting new patients |
Locations
5857 21st Ave W
#A
Bradenton, FL 34209
Phone (941) 241-8015
2215 59th St W
#A
Bradenton, FL 34209
Phone (941) 761-4994
Interoperability endpoints
- michaelburke@gcp.ssdirect.aprima.com
- blake.coclw.flg@ccda.hcadirect.net
Organizations & group practices 2
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.
-
- Specialist
- Bradenton, FL
- NPI 1558390237
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1134955016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1043236557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5857 21ST AVE W STE A",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095641",
"telephone_number": "941-792-0611",
"fax_number": "941-792-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 61ST ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095527",
"telephone_number": "941-792-0611",
"fax_number": "941-792-0086"
}
],
"practiceLocations": [
{
"address_1": "5857 21st Ave W Ste A",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342095641",
"country_code": "US",
"telephone_number": "941-792-0611",
"fax_number": "941-792-0086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5857 21st Ave W Ste A",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342095641",
"country_code": "US",
"telephone_number": "941-792-0611",
"fax_number": "941-792-0086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME111430",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME111430",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME111430",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME111430",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BLAKE.COCLW.FLG@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "5857 21st Ave W Ste A",
"city": "Bradenton",
"state": "FL",
"country_code": "US",
"postal_code": "342095641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.