Burt Gary Feuerstein

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

TP01042 Issued in AZ

Practice address

10008 N 34TH PL
Phoenix, AZ 85028-3936

Phone

(415) 730-2526

NPI assigned

Nov 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1134884331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 N 34TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283936",
            "telephone_number": "415-730-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 N 34TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283936",
            "telephone_number": "415-730-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUERSTEIN",
        "first_name": "BURT",
        "middle_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G44542",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "TP01042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Bahareh Fetsko, PT
• Janet M Fett, ACNP
• Katherine Anne Fetter, DNP
• Carrie Ann Fetterolf, BS, CLINICIAN I
• Jonathan A Feuer, MD
• Justin Feussner, LMT
• Diriba Feyissa
• FG Residential Homes LLC
• FH Anesthesia Group LLC
• Judith Ann Ficeli, LCSW

• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.