Individual provider Active NPI

John Marcel James Burney, MD

  • Obstetrics & Gynecology Physician
  • Fort Pierce, FL
National Provider Identifier
1124356084
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME115510 Issued in FL
Practice address
2402 Frist Blvd
Fort Pierce, FL 34950-4838
Phone
(772) 429-3400
Fax
(844) 542-4894
NPI assigned
Dec 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X ME115510 FL Primary

Addresses

Primary practice location

2402 Frist Blvd
Fort Pierce, FL 34950-4838

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 373-0765

Other practice location 1

705 E Marshall Ave
Suite 3000
Longview, TX 75601-5573
Phone (903) 315-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110830000721 TN Practitioner - Obstetrics/Gynecology 6305016387 Reassigns benefits to 1 organization
I20140911001276 SC Practitioner - Obstetrics/Gynecology 6305016387 Reassigns benefits to 2 organizations
I20200408004652 FL Practitioner - Obstetrics/Gynecology 6305016387 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon Multi-Specialty Current Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
McLeod Health Clarendon Multi-Specialty CurrentSince Apr 10, 2020 Accepting new patients
OB Hospitalist Group LLC Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
OB Hospitalist Group LLC Multi-Specialty Current Accepting new patients
Carolina Family Care, Inc Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients
McLeod Health Clarendon Multi-Specialty CurrentSince Apr 10, 2020 Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
Obhg Tennessee, P.C. Multi-Specialty CurrentSince Jul 3, 2019 Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
OB Hospitalist Group LLC Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Florida Community Health Centers Inc Multi-Specialty Current Accepting new patients
Florida Community Health Centers Inc Multi-Specialty CurrentSince Apr 3, 2020 Accepting new patients
Carolina Family Care, Inc Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients
Florida Community Health Centers, Inc. Multi-Specialty CurrentSince Apr 3, 2020 Accepting new patients
Zeid Womens Health Center LTD Multi-Specialty Past Accepting new patients
John Marcel Burney MD PLLC Multi-Specialty PastSince Jul 1, 2011 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

714 Avenue C
Fort Pierce, FL 34950
Phone (772) 429-3400

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 433-0797

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1124356084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072000",
            "telephone_number": "561-373-0765",
            "fax_number": "561-472-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-429-3400",
            "fax_number": "844-542-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 E Marshall Ave",
            "address_2": "Suite 3000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015573",
            "country_code": "US",
            "telephone_number": "903-315-2700",
            "fax_number": "903-236-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "JOHN",
        "middle_name": "MARCEL JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME115510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.