NPIMap

Organization Active NPI

Blake R Burchett

  • Family Medicine Physician
  • Prestonsburg, KY
National Provider Identifier
1083902837
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLAKE R BURCHETT
Practice address
535 N Lake Dr
Prestonsburg, KY 41653-1278
Phone
(606) 886-8466
Fax
(606) 886-0250
NPI assigned
Jul 14, 2011
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Blake R Burchett, MDNPI 1750371886
Title
Owner
Phone
(606) 886-8466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

535 N Lake Dr
Prestonsburg, KY 41653-1278

Mailing address

535 N Lake Dr
Prestonsburg, KY 41653-1278
Phone (606) 886-8466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1083902837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-886-8466",
            "fax_number": "606-886-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-886-8466",
            "fax_number": "606-886-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE R BURCHETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-886-8466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.