Individual provider Active NPI

Michael William Burke, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Bradenton, FL
National Provider Identifier
1043236557
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
ME111430 Issued in FL
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

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000342 FL Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3375548613 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111430FLMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Healing Arts Medical Center, Inc. CurrentSince Oct 13, 2018 Accepting new patients
Saving Lives Medical LLC CurrentSince Sep 15, 2024 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

  • Direct secure messaging: michaelburke@gcp.ssdirect.aprima.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.