Organization Active NPI

Burdman Group, Inc.

  • Case Management Agency
  • Youngstown, OH
National Provider Identifier
1104897198
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0305 Issued in OH
Legal business name
BURDMAN GROUP, INC.
Practice address
284 Broadway Ave
Youngstown, OH 44504-1752
Phone
(330) 743-9275
Fax
(330) 743-6110
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mark Wingert
Title
Controller
Phone
(330) 743-9275

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0305 OH Primary
Voluntary or Charitable Agency 251V00000X 0305 OH
Mental Illness Community Based Residential Treatment Facility 320800000X 04-2038 OH

Addresses

Primary practice location

284 Broadway Ave
Youngstown, OH 44504-1752

Mailing address

284 Broadway Ave
Youngstown, OH 44504-1752
Phone (330) 743-9275

Other identifiers 2

IdentifierTypeStateIssuer
02891MedicaidOH
2511357MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104897198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041752",
            "telephone_number": "330-743-9275",
            "fax_number": "330-743-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041752",
            "telephone_number": "330-743-9275",
            "fax_number": "330-743-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDMAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WINGERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "330-743-9275"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0305",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "0305",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "04-2038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02891",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2511357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.