Joshua Nelson Burg, DO
Individual provider Active NPI Emergency Medicine Physician · Charleston, WV
NPI 1073033809 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1073033809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 3665 (WV)
- Practice address
- 3200 Maccorkle Ave SE
Charleston, WV 25304-1227 - Phone
- (304) 388-5432
- NPI assigned
- Jun 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charleston Area Medical Center Inc
Practice addresses (Care Compare)
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Hospital & facility affiliations
- Charleston Area Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210809000300 | WV | Practitioner - Emergency Medicine | 1850664913 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116030766 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Camc Greenbrier Valley Medical Center Inc | Emergency Medicine | Current |
Accepting new patients |
| Charleston Area Medical Center Inc | Current |
Accepting new patients | |
| Camc Greenbrier Valley Medical Center, Inc. | Current |
Accepting new patients |
Locations
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762
1521 Maplewood Ave
Ronceverte, WV 24970
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116030766 | VA | |
| Emergency Medicine Physician | 207P00000X | 3665 | WV | Yes |
Addresses
Primary practice location
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Mailing address
PO Box 1547
Charleston, WV 25326-1547
Phone (304) 388-6004
Other practice location 1
2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652
Phone (434) 200-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207Q00000X | Other | VA | FAMILY MEDICINE |
Other providers in Charleston, WV
- Ruth Burdette
- Samantha Nicole Burdette
- Tammy Burdette
- Victoria A Burdette
- Joni Karen Burford
- April Dawn Burge
- Kaitlyn Burger
- Burgess Dental
- Alexis Burgess
- Bethanie Burgess
All providers in Charleston, WV · Emergency Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.