Burghealth Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BURGHEALTH INC.

Doing business as

Burghealth Chiropractic & Wellness
Burghealth Physical Medicine

Practice address

6535 4TH St N
St Petersburg, FL 33702-6813

Phone

(727) 289-9148

NPI assigned

Mar 25, 2021

Last updated

Nov 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Wallace Rutland Richards, DCNPI 1992149249

Title

Owner/Manager

Phone

(727) 289-9148

Specialties & licenses 2

Addresses

Other names 2

• Burghealth Chiropractic & Wellness Doing business as
• Burghealth Physical Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Wallace Richards, D.C.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1992149249
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Konrad, APRN-C

  • Primary Care Nurse Practitioner
  • Safety Harbor, FL
  • NPI 1003599663
  Medicare reassignment Care Compare group NPD
• Brandon Alexander Blitz, DC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1609744416
  Medicare reassignment NPD

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1043897234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026813",
            "telephone_number": "727-289-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026813",
            "telephone_number": "727-289-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGHEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "WALLACE RUTLAND",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "727-289-9148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burghealth Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burghealth Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Buquicchio, PA-C
• Alexander Burdi
• Edgar Alfredo Buren, MD
• Brandon Tyler Burgess
• Sarah C Burgess, MSN, APRN, AGNP-C
• Julio Antonio Burgos
• Jason Burgun, APRN
• Gwendolyn Louise Burk
• Burke Chiropractic, LLC
• Burke Consulting Corporation (Granny Nannies of Tampa Bay)

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.