Bart Burdick

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95466 Issued in OK

Practice address

5721 NW 132ND St
Oklahoma City, OK 73142-4437

Phone

(405) 557-1200

Fax

(405) 557-1977

NPI assigned

Sep 29, 2014

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Long Term Care Specialists, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1497761159
  Medicare reassignment NPD
• Value Based Long Term Care J PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1932931474

  OK

  Medicare reassignment NPD
• Careconnectmd Oklahoma PC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1578244018
  NPD

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1063815546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200",
            "fax_number": "405-557-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200",
            "fax_number": "405-557-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "BART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "95466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Eugene Burchett Jr., PHARM.D.
• Brianna Alexis Burden
• Jill Marie Burden, M.ED., LPC-CANDIDATE
• Porsha Latriece Burden, MSW, LMSW U/S
• Carl A Burdex
• Travis Burdine, IRT
• Kayla Lorrine Burdrick
• Kelsey Lynn Burdrick
• Lauren Burge, MD
• Adele Burger

• Gerontology Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Gerontology Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.

Verify at the official NPI Registry.